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 $11.22 Median $11.22 Typical High $13.80 | Professional | None | $11.22 | $11.22 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | None | $12.30 | $12.30 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $67.61 | Professional | None | $16.98 | $20.42 | $67.61 |
Moda Health Setting Facility Modifier None Typical Low $2.19 Median $16.22 Typical High $23.99 | Facility | None | $2.19 | $16.22 | $23.99 |
Moda Health Setting Professional Modifier None Typical Low $11.22 Median $21.38 Typical High $25.12 | Professional | None | $11.22 | $21.38 | $25.12 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.19 Typical High $2.34 | Professional | RR · Rental | $1.78 | $2.19 | $2.34 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $8.51 Median $15.14 Typical High $16.98 | Professional | UE · Used equipment | $8.51 | $15.14 | $16.98 |
Pacific Source Setting Facility Modifier None Typical Low $2.24 Median $19.95 Typical High $23.44 | Facility | None | $2.24 | $19.95 | $23.44 |
Pacific Source Setting Professional Modifier None Typical Low $2.24 Median $2.34 Typical High $23.44 | Professional | None | $2.24 | $2.34 | $23.44 |
Providence Setting Facility Modifier None Typical Low $14.45 Median $15.85 Typical High $25.12 | Facility | None | $14.45 | $15.85 | $25.12 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $79.43 | Professional | None | $12.30 | $14.45 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $2.24 | Professional | RR · Rental | $1.05 | $1.05 | $2.24 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $16.98 | Professional | UE · Used equipment | $7.76 | $7.76 | $16.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $17.38 Median $35.48 Typical High $83.18 | Facility | None | $17.38 | $35.48 | $83.18 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $1.74 Median $3.55 Typical High $8.32 | Facility | RR · Rental | $1.74 | $3.55 | $8.32 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $12.88 Median $26.92 Typical High $63.10 | Facility | UE · Used equipment | $12.88 | $26.92 | $63.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $26.30 | Professional | None | $19.50 | $23.99 | $26.30 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $21.38 | Professional | None | $11.22 | $11.22 | $21.38 |
United Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.12 Typical High $2.14 | Professional | RR · Rental | $1.10 | $1.12 | $2.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $8.32 Typical High $16.22 | Professional | UE · Used equipment | $8.32 | $8.32 | $16.22 |
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 $22.39 Median $23.99 Typical High $26.30 | Professional | KU · Bidding program group 3 | $22.39 | $23.99 | $26.30 |
Where Oregon sits
The same service costs 2.2 times more in Hawaii than in Illinois. 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· 27th of 51
$16.60
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.