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 $19.95 Median $25.12 Typical High $26.92 | Professional | None | $19.95 | $25.12 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $51.29 | Professional | None | $20.89 | $30.90 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $63.10 | Professional | None | $40.74 | $47.86 | $63.10 |
Moda Health Setting Facility Modifier None Typical Low $25.12 Median $50.12 Typical High $302.00 | Facility | None | $25.12 | $50.12 | $302.00 |
Moda Health Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $43.65 | Professional | None | $23.99 | $25.12 | $43.65 |
Pacific Source Setting Facility Modifier None Typical Low $23.99 Median $36.31 Typical High $39.81 | Facility | None | $23.99 | $36.31 | $39.81 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $38.02 Typical High $50.12 | Facility | None | $26.30 | $38.02 | $50.12 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $36.31 Typical High $70.79 | Professional | None | $21.38 | $36.31 | $70.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $537.03 | Facility | None | $363.08 | $457.09 | $537.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $39.81 | Professional | None | $37.15 | $38.02 | $39.81 |
United Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $660.69 | Facility | None | $426.58 | $524.81 | $660.69 |
United Setting Professional Modifier None Typical Low $19.05 Median $34.67 Typical High $56.23 | Professional | None | $19.05 | $34.67 | $56.23 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $11.22 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $4.57 | $5.01 | $5.01 |
HealthNet Setting Professional Modifier GP · Physical therapy plan Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | GP · Physical therapy plan | $295.12 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
Where Oregon sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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
$36.31
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.