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 $302.00 Median $416.87 Typical High $457.09 | Professional | None | $302.00 | $416.87 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $891.25 | Professional | None | $407.38 | $537.03 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $794.33 | Professional | None | $489.78 | $630.96 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $891.25 | Facility | None | $416.87 | $741.31 | $891.25 |
Moda Health Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $891.25 | Professional | None | $354.81 | $489.78 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $676.08 | Facility | None | $398.11 | $660.69 | $676.08 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $741.31 Typical High $891.25 | Facility | None | $338.84 | $741.31 | $891.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $630.96 Typical High $933.25 | Professional | None | $79.43 | $630.96 | $933.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $831.76 | Professional | None | $562.34 | $588.84 | $831.76 |
United Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $912.01 | Professional | None | $426.58 | $616.60 | $912.01 |
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 $691.83 Median $1,000.00 Typical High $1,778.28 | Professional | 25 · Same-day visit | $691.83 | $1,000.00 | $1,778.28 |
Where Oregon sits
The same service costs 3.4 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
$562
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.