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 $21.38 Median $21.88 Typical High $33.11 | Facility | None | $21.38 | $21.88 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $21.88 | Professional | None | $12.30 | $17.38 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $35.48 | Professional | None | $13.49 | $20.89 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $27.54 Typical High $38.02 | Professional | None | $19.95 | $27.54 | $38.02 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $28.84 Typical High $41.69 | Facility | None | $19.05 | $28.84 | $41.69 |
Moda Health Setting Professional Modifier None Typical Low $13.80 Median $21.88 Typical High $35.48 | Professional | None | $13.80 | $21.88 | $35.48 |
Pacific Source Setting Facility Modifier None Typical Low $17.38 Median $26.92 Typical High $29.51 | Facility | None | $17.38 | $26.92 | $29.51 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $28.84 Typical High $36.31 | Facility | None | $14.45 | $28.84 | $36.31 |
Providence Setting Professional Modifier None Typical Low $16.60 Median $24.55 Typical High $70.79 | Professional | None | $16.60 | $24.55 | $70.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $128.82 | Facility | None | $81.28 | $104.71 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $25.70 | Professional | None | $19.50 | $23.44 | $25.70 |
United Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $186.21 | Facility | None | $120.23 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $38.02 | Professional | None | $17.38 | $24.55 | $38.02 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier 25 · Same-day visit Typical Low $15.14 Median $33.11 Typical High $51.29 | Professional | 25 · Same-day visit | $15.14 | $33.11 | $51.29 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $13.18 Median $47.86 Typical High $47.86 | Professional | 59 · Distinct service | $13.18 | $47.86 | $47.86 |
Where Oregon sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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
$21.88
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.