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 $44.67 Median $45.71 Typical High $63.10 | Professional | None | $44.67 | $45.71 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $223.87 | Professional | None | $64.57 | $75.86 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $10.72 Median $63.10 Typical High $109.65 | Facility | None | $10.72 | $63.10 | $109.65 |
Moda Health Setting Professional Modifier None Typical Low $45.71 Median $83.18 Typical High $95.50 | Professional | None | $45.71 | $83.18 | $95.50 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $6.31 Median $8.51 Typical High $10.72 | Professional | RR · Rental | $6.31 | $8.51 | $10.72 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $60.26 Typical High $74.13 | Professional | UE · Used equipment | $34.67 | $60.26 | $74.13 |
Pacific Source Setting Facility Modifier None Typical Low $7.94 Median $79.43 Typical High $107.15 | Facility | None | $7.94 | $79.43 | $107.15 |
Pacific Source Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $83.18 | Professional | None | $8.32 | $8.32 | $83.18 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $70.79 Typical High $123.03 | Facility | None | $57.54 | $70.79 | $123.03 |
Providence Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $87.10 | Professional | None | $48.98 | $57.54 | $87.10 |
Providence Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $9.12 | Professional | RR · Rental | $6.61 | $6.61 | $9.12 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | UE · Used equipment | $36.31 | $36.31 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $120.23 | Professional | None | $69.18 | $89.13 | $120.23 |
United Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $83.18 | Professional | None | $43.65 | $44.67 | $83.18 |
United Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $9.12 | Professional | RR · Rental | $4.47 | $4.47 | $9.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $33.88 Typical High $63.10 | Professional | UE · Used equipment | $33.11 | $33.88 | $63.10 |
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 KU · Bidding program group 3 Typical Low $63.10 Median $117.49 Typical High $128.82 | Professional | KU · Bidding program group 3 | $63.10 | $117.49 | $128.82 |
Where Oregon sits
The same service costs 3.7 times more in Hawaii 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· 35th of 51
$63.10
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.