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 $50.12 Typical High $64.57 | Professional | None | $50.12 | $50.12 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None | $56.23 | $56.23 | $66.07 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $6.61 | Professional | RR · Rental | $5.62 | $5.62 | $6.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $275.42 | Professional | None | $70.79 | $85.11 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $12.30 Median $77.62 Typical High $123.03 | Facility | None | $12.30 | $77.62 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $93.33 Typical High $100.00 | Professional | None | $50.12 | $93.33 | $100.00 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.55 Typical High $10.47 | Professional | RR · Rental | $9.12 | $9.55 | $10.47 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $69.18 Typical High $75.86 | Professional | UE · Used equipment | $37.15 | $69.18 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $9.33 Median $93.33 Typical High $117.49 | Facility | None | $9.33 | $93.33 | $117.49 |
Pacific Source Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $117.49 | Professional | None | $11.75 | $11.75 | $117.49 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $74.13 Typical High $128.82 | Facility | None | $66.07 | $74.13 | $128.82 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $95.50 | Professional | None | $56.23 | $66.07 | $95.50 |
Providence Setting Professional Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $9.55 | Professional | RR · Rental | $5.62 | $5.62 | $9.55 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $75.86 | Professional | UE · Used equipment | $40.74 | $40.74 | $75.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $74.13 Median $158.49 Typical High $363.08 | Facility | None | $74.13 | $158.49 | $363.08 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $7.41 Median $15.85 Typical High $36.31 | Facility | RR · Rental | $7.41 | $15.85 | $36.31 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $56.23 Median $120.23 Typical High $269.15 | Facility | UE · Used equipment | $56.23 | $120.23 | $269.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $131.83 | Professional | None | $81.28 | $100.00 | $131.83 |
United Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $93.33 | Professional | None | $50.12 | $53.70 | $93.33 |
United Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.37 Typical High $9.33 | Professional | RR · Rental | $5.01 | $5.37 | $9.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $40.74 Typical High $69.18 | Professional | UE · Used equipment | $37.15 | $40.74 | $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 $10.96 Median $123.03 Typical High $134.90 | Professional | KU · Bidding program group 3 | $10.96 | $123.03 | $134.90 |
Where Oregon sits
The same service costs 2.6 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· 29th of 51
$75.86
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.