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 $16.98 Median $27.54 Typical High $117.49 | Facility | None | $16.98 | $27.54 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $31.62 Typical High $70.79 | Professional | None | $13.18 | $31.62 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $42.66 Typical High $125.89 | Professional | None | $16.98 | $42.66 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $51.29 Typical High $131.83 | Professional | None | $20.42 | $51.29 | $131.83 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $125.89 Typical High $562.34 | Facility | None | $19.05 | $125.89 | $562.34 |
Moda Health Setting Professional Modifier None Typical Low $12.02 Median $28.84 Typical High $95.50 | Professional | None | $12.02 | $28.84 | $95.50 |
Pacific Source Setting Facility Modifier None Typical Low $58.88 Median $97.72 Typical High $102.33 | Facility | None | $58.88 | $97.72 | $102.33 |
Providence Setting Facility Modifier None Typical Low $12.30 Median $61.66 Typical High $125.89 | Facility | None | $12.30 | $61.66 | $125.89 |
Providence Setting Professional Modifier None Typical Low $19.05 Median $70.79 Typical High $134.90 | Professional | None | $19.05 | $70.79 | $134.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $114.82 | Professional | None | $22.91 | $38.90 | $114.82 |
United Setting Professional Modifier None Typical Low $18.62 Median $51.29 Typical High $134.90 | Professional | None | $18.62 | $51.29 | $134.90 |
3 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 53 · Discontinued Typical Low $3.09 Median $3.39 Typical High $13.49 | Professional | 53 · Discontinued | $3.09 | $3.39 | $13.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $13.49 | Professional | 53 · Discontinued | $3.09 | $3.09 | $13.49 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $11.75 Median $30.90 Typical High $120.23 | Professional | 59 · Distinct service | $11.75 | $30.90 | $120.23 |
Where Oregon sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 10th of 51
$54.95
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.