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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $112.20 Typical High $154.88 | Professional | None | $40.74 | $112.20 | $154.88 |
Moda Health Setting Facility Modifier None Typical Low $5.13 Median $38.02 Typical High $51.29 | Facility | None | $5.13 | $38.02 | $51.29 |
Moda Health Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $53.70 | Professional | None | $26.30 | $42.66 | $53.70 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $2.63 Median $4.57 Typical High $5.37 | Professional | RR · Rental | $2.63 | $4.57 | $5.37 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $34.67 Typical High $42.66 | Professional | UE · Used equipment | $19.95 | $34.67 | $42.66 |
Pacific Source Setting Facility Modifier None Typical Low $5.13 Median $47.86 Typical High $52.48 | Facility | None | $5.13 | $47.86 | $52.48 |
Pacific Source Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $52.48 | Professional | None | $5.25 | $5.25 | $52.48 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $53.70 | Facility | None | $24.55 | $37.15 | $53.70 |
Providence Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $79.43 | Professional | None | $20.89 | $24.55 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.19 Typical High $5.13 | Professional | RR · Rental | $2.19 | $2.19 | $5.13 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $16.60 Typical High $38.90 | Professional | UE · Used equipment | $16.60 | $16.60 | $38.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $42.66 Median $83.18 Typical High $204.17 | Facility | None | $42.66 | $83.18 | $204.17 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $4.27 Median $8.32 Typical High $20.42 | Facility | RR · Rental | $4.27 | $8.32 | $20.42 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $31.62 Median $63.10 Typical High $154.88 | Facility | UE · Used equipment | $31.62 | $63.10 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $58.88 | Professional | None | $46.77 | $56.23 | $58.88 |
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 $17.78 Median $19.95 Typical High $38.90 | Professional | UE · Used equipment | $17.78 | $19.95 | $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 $48.98 Median $51.29 Typical High $56.23 | Professional | KU · Bidding program group 3 | $48.98 | $51.29 | $56.23 |
Where Oregon sits
The same service costs 10.0 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· 25th of 51
$38.90
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.