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 $43.65 Median $54.95 Typical High $58.88 | Facility | None | $43.65 | $54.95 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $47.86 | Professional | None | $26.30 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $15.49 | $22.39 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $79.43 | Professional | None | $31.62 | $47.86 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $79.43 | Professional | None | $50.12 | $61.66 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $51.29 Typical High $83.18 | Facility | None | $19.05 | $51.29 | $83.18 |
Moda Health Setting Professional Modifier None Typical Low $29.51 Median $45.71 Typical High $85.11 | Professional | None | $29.51 | $45.71 | $85.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $20.42 | $22.39 | $22.91 |
Pacific Source Setting Facility Modifier None Typical Low $36.31 Median $60.26 Typical High $61.66 | Facility | None | $36.31 | $60.26 | $61.66 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $77.62 | Facility | None | $35.48 | $51.29 | $77.62 |
Providence Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $87.10 | Professional | None | $38.90 | $57.54 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $128.82 | Facility | None | $66.07 | $107.15 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | None | $48.98 | $52.48 | $58.88 |
United Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $87.10 | Professional | None | $45.71 | $57.54 | $87.10 |
1 more rate 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 $30.20 Median $69.18 Typical High $131.83 | Professional | 25 · Same-day visit | $30.20 | $69.18 | $131.83 |
Where Oregon sits
The same service costs 2.5 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· 4th of 51
$47.86
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.