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 $15.14 Median $44.67 Typical High $66.07 | Professional | None | $15.14 | $44.67 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $100.00 | Professional | None | $48.98 | $67.61 | $100.00 |
Moda Health Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $25.70 | Facility | None | $12.59 | $12.59 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $17.78 | Professional | None | $12.59 | $17.78 | $17.78 |
Pacific Source Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $12.30 | Facility | None | $7.41 | $12.30 | $12.30 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $33.88 | Facility | None | $23.99 | $23.99 | $33.88 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $79.43 Typical High $79.43 | Professional | None | $43.65 | $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 $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
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 $31.62 Median $41.69 Typical High $123.03 | Professional | None | $31.62 | $41.69 | $123.03 |
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 + UQ · 4 patients served Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | HN · Bachelor's level + UQ · 4 patients served | $6.17 | $6.17 | $6.17 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
Where Oregon sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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· 34th of 51
$17.78
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.