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 $10.96 Median $16.22 Typical High $19.50 | Professional | None | $10.96 | $16.22 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | None | $17.78 | $17.78 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $69.18 Typical High $93.33 | Professional | None | $25.12 | $69.18 | $93.33 |
Moda Health Setting Facility Modifier None Typical Low $3.16 Median $23.44 Typical High $31.62 | Facility | None | $3.16 | $23.44 | $31.62 |
Moda Health Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $33.11 | Professional | None | $16.22 | $26.92 | $33.11 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $2.45 Median $3.16 Typical High $3.39 | Professional | RR · Rental | $2.45 | $3.16 | $3.39 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $21.88 Typical High $25.12 | Professional | UE · Used equipment | $12.02 | $21.88 | $25.12 |
Pacific Source Setting Facility Modifier None Typical Low $3.16 Median $31.62 Typical High $32.36 | Facility | None | $3.16 | $31.62 | $32.36 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $22.91 Typical High $33.88 | Facility | None | $21.38 | $22.91 | $33.88 |
Providence Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $79.43 | Professional | None | $17.78 | $21.38 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.38 Typical High $3.16 | Professional | RR · Rental | $1.38 | $1.38 | $3.16 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.23 Typical High $23.99 | Professional | UE · Used equipment | $10.23 | $10.23 | $23.99 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.12 Median $51.29 Typical High $123.03 | Facility | None | $25.12 | $51.29 | $123.03 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $2.51 Median $5.13 Typical High $12.30 | Facility | RR · Rental | $2.51 | $5.13 | $12.30 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $19.05 Median $38.02 Typical High $91.20 | Facility | UE · Used equipment | $19.05 | $38.02 | $91.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $37.15 | Professional | None | $28.84 | $34.67 | $37.15 |
United Setting Professional Modifier None Typical Low $14.79 Median $15.85 Typical High $31.62 | Professional | None | $14.79 | $15.85 | $31.62 |
United Setting Professional Modifier RR · Rental Typical Low $1.48 Median $1.58 Typical High $3.16 | Professional | RR · Rental | $1.48 | $1.58 | $3.16 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $12.02 Typical High $23.44 | Professional | UE · Used equipment | $10.96 | $12.02 | $23.44 |
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 $23.44 Median $31.62 Typical High $35.48 | Professional | KU · Bidding program group 3 | $23.44 | $31.62 | $35.48 |
Where Oregon sits
The same service costs 2.3 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· 28th of 51
$23.44
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.