How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Moda Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $35.48 | Facility | None | $25.12 | $25.12 | $35.48 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $125.89 | Facility | None | $70.79 | $107.15 | $125.89 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $35.48 | Facility | None | $25.12 | $25.12 | $35.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $70.79 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $177.83 | Facility | None | $162.18 | $162.18 | $177.83 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Where Oregon sits
The same service costs 100.0 times more in Massachusetts than in Maryland. 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 50
$97.72
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.