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 $8.13 Median $10.47 Typical High $12.88 | Professional | None | $8.13 | $10.47 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $13.80 | Professional | None | $11.75 | $11.75 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $57.54 | Professional | None | $15.49 | $18.62 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $1.95 Median $15.14 Typical High $23.99 | Facility | None | $1.95 | $15.14 | $23.99 |
Moda Health Setting Professional Modifier None Typical Low $10.47 Median $19.05 Typical High $20.89 | Professional | None | $10.47 | $19.05 | $20.89 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $1.82 Median $1.95 Typical High $2.45 | Professional | RR · Rental | $1.82 | $1.95 | $2.45 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $14.45 Typical High $16.22 | Professional | UE · Used equipment | $7.94 | $14.45 | $16.22 |
Pacific Source Setting Facility Modifier None Typical Low $2.00 Median $19.95 Typical High $23.99 | Facility | None | $2.00 | $19.95 | $23.99 |
Pacific Source Setting Professional Modifier None Typical Low $2.00 Median $2.19 Typical High $21.88 | Professional | None | $2.00 | $2.19 | $21.88 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $14.45 Typical High $25.12 | Facility | None | $13.80 | $14.45 | $25.12 |
Providence Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $79.43 | Professional | None | $11.75 | $13.80 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.02 Median $1.02 Typical High $2.19 | Professional | RR · Rental | $1.02 | $1.02 | $2.19 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $16.60 | Professional | UE · Used equipment | $7.76 | $7.76 | $16.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $77.62 | Facility | None | $16.22 | $33.11 | $77.62 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $1.62 Median $3.31 Typical High $7.76 | Facility | RR · Rental | $1.62 | $3.31 | $7.76 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $12.02 Median $25.12 Typical High $58.88 | Facility | UE · Used equipment | $12.02 | $25.12 | $58.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $26.92 | Professional | None | $17.78 | $21.38 | $26.92 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $19.95 | Professional | None | $10.47 | $10.96 | $19.95 |
United Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.10 Typical High $2.00 | Professional | RR · Rental | $1.05 | $1.10 | $2.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $8.32 Typical High $15.14 | Professional | UE · Used equipment | $7.76 | $8.32 | $15.14 |
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 $1.95 Median $23.99 Typical High $25.70 | Professional | KU · Bidding program group 3 | $1.95 | $23.99 | $25.70 |
Where Oregon sits
The same service costs 2.5 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· 26th of 51
$16.22
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.