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 Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $70.79 | Professional | None | $43.65 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $114.82 | Professional | None | $53.70 | $56.23 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $141.25 | Professional | None | $95.50 | $109.65 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $141.25 | Facility | None | $70.79 | $95.50 | $141.25 |
Moda Health Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $102.33 | Professional | None | $43.65 | $70.79 | $102.33 |
Pacific Source Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $104.71 | Facility | None | $60.26 | $100.00 | $104.71 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $141.25 | Facility | None | $60.26 | $85.11 | $141.25 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $144.54 | Professional | None | $53.70 | $63.10 | $144.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $218.78 | Facility | None | $91.20 | $125.89 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $104.71 | Professional | None | $97.72 | $100.00 | $104.71 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $79.43 | Facility | None | $54.95 | $54.95 | $79.43 |
United Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $117.49 | Professional | None | $46.77 | $53.70 | $117.49 |
2 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $32.36 | $35.48 | $35.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 5th of 51
$70.79
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.