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 $79.43 Median $79.43 Typical High $123.03 | Facility | None | $79.43 | $79.43 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $79.43 | Professional | None | $57.54 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $158.49 | Professional | None | $74.13 | $89.13 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $144.54 | Professional | None | $97.72 | $114.82 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $134.90 | Facility | None | $79.43 | $112.20 | $134.90 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $181.97 | Professional | None | $58.88 | $81.28 | $181.97 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $123.03 | Facility | None | $70.79 | $112.20 | $123.03 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $87.10 Typical High $134.90 | Facility | None | $60.26 | $87.10 | $134.90 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $169.82 | Professional | None | $75.86 | $107.15 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $162.18 | Professional | None | $112.20 | $117.49 | $162.18 |
United Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $190.55 | Professional | None | $81.28 | $112.20 | $190.55 |
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 53 · Discontinued Typical Low $12.30 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $12.30 | $15.85 | $15.85 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $13.80 | $15.85 | $15.85 |
Where Oregon sits
The same service costs 3.1 times more in Alaska than in New York. 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· 7th of 51
$107
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.