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 $50.12 Median $51.29 Typical High $66.07 | Professional | None | $50.12 | $51.29 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | None | $51.29 | $51.29 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $234.42 | Professional | None | $69.18 | $83.18 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $85.11 Typical High $134.90 | Facility | None | $13.49 | $85.11 | $134.90 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $109.65 | Professional | None | $51.29 | $89.13 | $109.65 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $8.71 Median $9.33 Typical High $11.22 | Professional | RR · Rental | $8.71 | $9.33 | $11.22 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $66.07 Typical High $83.18 | Professional | UE · Used equipment | $38.02 | $66.07 | $83.18 |
Pacific Source Setting Facility Modifier None Typical Low $9.12 Median $89.13 Typical High $120.23 | Facility | None | $9.12 | $89.13 | $120.23 |
Providence Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $144.54 | Facility | None | $60.26 | $81.28 | $144.54 |
Providence Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $97.72 | Professional | None | $51.29 | $60.26 | $97.72 |
Providence Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $10.00 | Professional | RR · Rental | $5.89 | $5.89 | $10.00 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $74.13 | Professional | UE · Used equipment | $44.67 | $44.67 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $72.44 Median $162.18 Typical High $346.74 | Facility | None | $72.44 | $162.18 | $346.74 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $7.24 Median $16.22 Typical High $34.67 | Facility | RR · Rental | $7.24 | $16.22 | $34.67 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $53.70 Median $120.23 Typical High $263.03 | Facility | UE · Used equipment | $53.70 | $120.23 | $263.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $134.90 | Professional | None | $79.43 | $97.72 | $134.90 |
United Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $91.20 | Professional | None | $46.77 | $47.86 | $91.20 |
United Setting Professional Modifier RR · Rental Typical Low $4.68 Median $4.79 Typical High $9.12 | Professional | RR · Rental | $4.68 | $4.79 | $9.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $35.48 Typical High $69.18 | Professional | UE · Used equipment | $35.48 | $35.48 | $69.18 |
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 $69.18 Median $134.90 Typical High $151.36 | Professional | KU · Bidding program group 3 | $69.18 | $134.90 | $151.36 |
Where Oregon sits
The same service costs 2.9 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· 20th of 51
$79.43
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.