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 $26.30 Median $26.30 Typical High $33.11 | Professional | None | $26.30 | $26.30 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | None | $30.20 | $30.20 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $154.88 | Professional | None | $38.90 | $46.77 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $5.75 Median $38.90 Typical High $57.54 | Facility | None | $5.75 | $38.90 | $57.54 |
Moda Health Setting Professional Modifier None Typical Low $26.30 Median $50.12 Typical High $60.26 | Professional | None | $26.30 | $50.12 | $60.26 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.01 Typical High $5.50 | Professional | RR · Rental | $4.37 | $5.01 | $5.50 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $35.48 Typical High $38.90 | Professional | UE · Used equipment | $19.50 | $35.48 | $38.90 |
Pacific Source Setting Facility Modifier None Typical Low $5.13 Median $51.29 Typical High $58.88 | Facility | None | $5.13 | $51.29 | $58.88 |
Providence Setting Facility Modifier None Typical Low $35.48 Median $36.31 Typical High $60.26 | Facility | None | $35.48 | $36.31 | $60.26 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $79.43 | Professional | None | $30.20 | $35.48 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $5.62 | Professional | RR · Rental | $2.51 | $2.51 | $5.62 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $41.69 | Professional | UE · Used equipment | $19.05 | $19.05 | $41.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $40.74 Median $83.18 Typical High $199.53 | Facility | None | $40.74 | $83.18 | $199.53 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $4.07 Median $8.32 Typical High $19.50 | Facility | RR · Rental | $4.07 | $8.32 | $19.50 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $30.90 Median $61.66 Typical High $147.91 | Facility | UE · Used equipment | $30.90 | $61.66 | $147.91 |
Regence BlueShield Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $66.07 | Professional | None | $44.67 | $54.95 | $66.07 |
United Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $51.29 | Professional | None | $23.44 | $26.30 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.63 Typical High $5.13 | Professional | RR · Rental | $2.34 | $2.63 | $5.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $19.50 Typical High $38.02 | Professional | UE · Used equipment | $17.38 | $19.50 | $38.02 |
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 $5.01 Median $57.54 Typical High $63.10 | Professional | KU · Bidding program group 3 | $5.01 | $57.54 | $63.10 |
Where Oregon sits
The same service costs 2.7 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
$43.65
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.