How much rates vary
Facilitymedian $331 · 10th to 90th $23 to $468Professionalmedian $151 · 10th to 90th $87 to $389
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 $131.83 Median $141.25 Typical High $141.25 | Professional | None | $131.83 | $141.25 | $141.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | UE · Used equipment | $81.28 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | RR · Rental | $15.14 | $15.14 | $17.78 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | UE · Used equipment | $114.82 | $114.82 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $691.83 | Professional | None | $478.63 | $588.84 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $141.25 Typical High $602.56 | Facility | None | $24.55 | $141.25 | $602.56 |
Moda Health Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None | $131.83 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $22.91 Median $24.55 Typical High $32.36 | Professional | RR · Rental | $22.91 | $24.55 | $32.36 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | UE · Used equipment | $81.28 | $104.71 | $104.71 |
Pacific Source Setting Facility Modifier None Typical Low $23.44 Median $331.13 Typical High $467.74 | Facility | None | $23.44 | $331.13 | $467.74 |
Pacific Source Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $467.74 | Professional | None | $23.44 | $26.30 | $467.74 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $177.83 Typical High $602.56 | Facility | None | $25.12 | $177.83 | $602.56 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $151.36 Typical High $562.34 | Professional | None | $70.79 | $151.36 | $562.34 |
Providence Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $28.18 | Professional | RR · Rental | $15.14 | $15.14 | $28.18 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $457.09 | Professional | UE · Used equipment | $114.82 | $114.82 | $457.09 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $19.05 Median $44.67 Typical High $93.33 | Facility | RR · Rental | $19.05 | $44.67 | $93.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $389.05 | Professional | None | $208.93 | $257.04 | $389.05 |
United Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $229.09 | Professional | None | $109.65 | $147.91 | $229.09 |
United Setting Professional Modifier RR · Rental Typical Low $13.18 Median $16.60 Typical High $26.92 | Professional | RR · Rental | $13.18 | $16.60 | $26.92 |
United Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $112.20 Typical High $169.82 | Professional | UE · Used equipment | $83.18 | $112.20 | $169.82 |
3 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 52 · Reduced service Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $26.92 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $19.95 | $20.89 | $20.89 |
Where Oregon sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 42nd of 51
$151
KS $447IL $19.95
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.