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 $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $48.98 Typical High $72.44 | Professional | None | $19.50 | $48.98 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $83.18 | Professional | None | $46.77 | $63.10 | $83.18 |
Moda Health Setting Facility Modifier None Typical Low $17.78 Median $34.67 Typical High $36.31 | Facility | None | $17.78 | $34.67 | $36.31 |
Moda Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $36.31 | Professional | None | $17.78 | $17.78 | $36.31 |
Pacific Source Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $45.71 | Facility | None | $27.54 | $45.71 | $45.71 |
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 $245.47 Typical High $630.96 | Facility | None | $104.71 | $245.47 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
United Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $870.96 | Facility | None | $562.34 | $707.95 | $870.96 |
United Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $107.15 | Professional | None | $52.48 | $69.18 | $107.15 |
4 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 + HN · Bachelor's level Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | HM · Below bachelor's level + HN · Bachelor's level | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HO · Master's level | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HP · Doctoral level | $19.50 | $19.50 | $19.50 |
Where Oregon sits
The same service costs 3.4 times more in Wyoming 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· 23rd of 51
$26.30
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.