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 $19.95 Median $28.84 Typical High $35.48 | Professional | None | $19.95 | $28.84 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $125.89 Typical High $173.78 | Professional | None | $44.67 | $125.89 | $173.78 |
Moda Health Setting Facility Modifier None Typical Low $5.62 Median $42.66 Typical High $58.88 | Facility | None | $5.62 | $42.66 | $58.88 |
Moda Health Setting Professional Modifier None Typical Low $28.84 Median $48.98 Typical High $58.88 | Professional | None | $28.84 | $48.98 | $58.88 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $4.47 Median $5.62 Typical High $6.31 | Professional | RR · Rental | $4.47 | $5.62 | $6.31 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $39.81 Typical High $45.71 | Professional | UE · Used equipment | $21.88 | $39.81 | $45.71 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $52.48 Typical High $58.88 | Facility | None | $5.75 | $52.48 | $58.88 |
Pacific Source Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $57.54 | Professional | None | $5.75 | $5.75 | $57.54 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $40.74 Typical High $61.66 | Facility | None | $38.02 | $40.74 | $61.66 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $79.43 | Professional | None | $32.36 | $38.02 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $5.75 | Professional | RR · Rental | $2.51 | $2.51 | $5.75 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.05 Typical High $43.65 | Professional | UE · Used equipment | $19.05 | $19.05 | $43.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $44.67 Median $91.20 Typical High $218.78 | Facility | None | $44.67 | $91.20 | $218.78 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $4.47 Median $9.12 Typical High $21.88 | Facility | RR · Rental | $4.47 | $9.12 | $21.88 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $33.88 Median $69.18 Typical High $162.18 | Facility | UE · Used equipment | $33.88 | $69.18 | $162.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $61.66 Typical High $66.07 | Professional | None | $51.29 | $61.66 | $66.07 |
United Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $56.23 | Professional | None | $26.92 | $28.84 | $56.23 |
United Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.88 Typical High $5.62 | Professional | RR · Rental | $2.69 | $2.88 | $5.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $21.38 Typical High $42.66 | Professional | UE · Used equipment | $20.42 | $21.38 | $42.66 |
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 $56.23 Median $58.88 Typical High $64.57 | Professional | KU · Bidding program group 3 | $56.23 | $58.88 | $64.57 |
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· 25th of 51
$42.66
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.