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 $4.90 Median $6.92 Typical High $12.88 | Professional | None | $4.90 | $6.92 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $11.22 | Professional | None | $6.31 | $8.51 | $11.22 |
Moda Health Setting Facility Modifier None Typical Low $6.31 Median $6.46 Typical High $19.05 | Facility | None | $6.31 | $6.46 | $19.05 |
Moda Health Setting Professional Modifier None Typical Low $6.46 Median $13.18 Typical High $13.18 | Professional | None | $6.46 | $13.18 | $13.18 |
Pacific Source Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $19.50 | Facility | None | $11.75 | $19.50 | $19.50 |
Pacific Source Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Providence Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $3.39 | Facility | None | $2.34 | $2.34 | $3.39 |
Providence Setting Professional Modifier None Typical Low $6.92 Median $79.43 Typical High $79.43 | Professional | None | $6.92 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $128.82 | Facility | None | $81.28 | $112.20 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
United Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $186.21 | Facility | None | $120.23 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $15.14 | Professional | None | $7.24 | $9.55 | $15.14 |
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 UR · 5 patients served + XP · Separate practitioner Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | UR · 5 patients served + XP · Separate practitioner | $3.24 | $3.24 | $3.24 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $10.47 |
United Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HO · Master's level | $12.30 | $12.30 | $12.30 |
United Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | HP · Doctoral level | $12.30 | $12.30 | $12.30 |
Where Oregon sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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· 22nd of 51
$13.18
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.