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 $56.23 Median $72.44 Typical High $77.62 | Professional | None | $56.23 | $72.44 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $128.82 | Professional | None | $47.86 | $69.18 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $141.25 | Professional | None | $100.00 | $114.82 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $131.83 | Facility | None | $72.44 | $104.71 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $107.15 | Professional | None | $58.88 | $72.44 | $107.15 |
Pacific Source Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $95.50 | Facility | None | $52.48 | $87.10 | $95.50 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $91.20 Typical High $131.83 | Facility | None | $64.57 | $91.20 | $131.83 |
Providence Setting Professional Modifier None Typical Low $48.98 Median $79.43 Typical High $138.04 | Professional | None | $48.98 | $79.43 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $169.82 | Facility | None | $112.20 | $131.83 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $95.50 | Professional | None | $87.10 | $91.20 | $95.50 |
United Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $181.97 | Facility | None | $117.49 | $147.91 | $181.97 |
United Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $154.88 | Professional | None | $77.62 | $102.33 | $154.88 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $30.20 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $12.02 | $14.45 | $14.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $36.31 | $36.31 | $36.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Where Oregon sits
The same service costs 2.6 times more in Nebraska 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· 6th of 51
$89.13
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.