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 $33.88 Median $51.29 Typical High $75.86 | Professional | None | $33.88 | $51.29 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $66.07 | Professional | None | $37.15 | $48.98 | $66.07 |
Moda Health Setting Facility Modifier None Typical Low $17.78 Median $23.44 Typical High $25.70 | Facility | None | $17.78 | $23.44 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | None | $17.78 | $17.78 | $23.44 |
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 $13.80 Median $13.80 Typical High $19.50 | Facility | None | $13.80 | $13.80 | $19.50 |
Providence Setting Professional Modifier None Typical Low $40.74 Median $79.43 Typical High $79.43 | Professional | None | $40.74 | $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 $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
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 $53.70 Median $72.44 Typical High $100.00 | Professional | None | $53.70 | $72.44 | $100.00 |
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 HN · Bachelor's level Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | HN · Bachelor's level | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier HO · Master's level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HO · Master's level | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier HP · Doctoral level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HP · Doctoral level | $17.38 | $17.38 | $17.38 |
Where Oregon sits
The same service costs 4.7 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· 28th of 51
$23.44
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.