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 $28.18 Median $28.18 Typical High $34.67 | Professional | None | $28.18 | $28.18 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $112.20 Typical High $154.88 | Professional | None | $43.65 | $112.20 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $5.50 Median $40.74 Typical High $60.26 | Facility | None | $5.50 | $40.74 | $60.26 |
Moda Health Setting Professional Modifier None Typical Low $28.18 Median $48.98 Typical High $57.54 | Professional | None | $28.18 | $48.98 | $57.54 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $4.57 Median $5.50 Typical High $6.03 | Professional | RR · Rental | $4.57 | $5.50 | $6.03 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $38.90 Typical High $43.65 | Professional | UE · Used equipment | $21.38 | $38.90 | $43.65 |
Pacific Source Setting Facility Modifier None Typical Low $5.62 Median $52.48 Typical High $58.88 | Facility | None | $5.62 | $52.48 | $58.88 |
Pacific Source Setting Professional Modifier None Typical Low $5.62 Median $5.89 Typical High $58.88 | Professional | None | $5.62 | $5.89 | $58.88 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $39.81 Typical High $63.10 | Facility | None | $36.31 | $39.81 | $63.10 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $79.43 | Professional | None | $30.90 | $36.31 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.57 Median $2.57 Typical High $5.75 | Professional | RR · Rental | $2.57 | $2.57 | $5.75 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $42.66 | Professional | UE · Used equipment | $23.44 | $23.44 | $42.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $43.65 Median $89.13 Typical High $208.93 | Facility | None | $43.65 | $89.13 | $208.93 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $4.37 Median $8.91 Typical High $20.89 | Facility | RR · Rental | $4.37 | $8.91 | $20.89 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $33.11 Median $67.61 Typical High $158.49 | Facility | UE · Used equipment | $33.11 | $67.61 | $158.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $66.07 | Professional | None | $48.98 | $60.26 | $66.07 |
United Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $51.29 | Professional | None | $26.30 | $27.54 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.69 Typical High $5.13 | Professional | RR · Rental | $2.63 | $2.69 | $5.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $20.42 Typical High $38.90 | Professional | UE · Used equipment | $19.95 | $20.42 | $38.90 |
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 KU · Bidding program group 3 Typical Low $40.74 Median $60.26 Typical High $66.07 | Professional | KU · Bidding program group 3 | $40.74 | $60.26 | $66.07 |
Where Oregon sits
The same service costs 2.3 times more in Kansas than in New Mexico. 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· 18th of 51
$44.67
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.