How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $48.98 Typical High $72.44 | Professional | None | $13.18 | $48.98 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $87.10 | Professional | None | $48.98 | $66.07 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $11.22 Median $13.80 Typical High $19.05 | Facility | None | $11.22 | $13.80 | $19.05 |
Moda Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | None | $13.18 | $13.18 | $13.80 |
Pacific Source Setting Facility Modifier None Typical Low $12.59 Median $20.89 Typical High $20.89 | Facility | None | $12.59 | $20.89 | $20.89 |
Providence Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $25.12 | Facility | None | $17.38 | $17.38 | $25.12 |
Providence Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $79.43 | Professional | None | $44.67 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $239.88 Typical High $354.81 | Facility | None | $104.71 | $239.88 | $354.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
United Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $501.19 | Facility | None | $323.59 | $398.11 | $501.19 |
United Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $107.15 | Professional | None | $52.48 | $69.18 | $107.15 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HM · Below bachelor's level Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | HM · Below bachelor's level | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HO · Master's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HP · Doctoral level | $16.60 | $16.60 | $16.60 |
Where Oregon sits
The same service costs 4.5 times more in Wyoming than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 43rd of 51
$13.80
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.