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 $162.18 Median $165.96 Typical High $208.93 | Professional | None | $162.18 | $165.96 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | None | $173.78 | $173.78 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $645.65 Typical High $870.96 | Professional | None | $239.88 | $645.65 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $40.74 Median $257.04 Typical High $407.38 | Facility | None | $40.74 | $257.04 | $407.38 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $309.03 Typical High $346.74 | Professional | None | $165.96 | $309.03 | $346.74 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $30.20 Median $31.62 Typical High $35.48 | Professional | RR · Rental | $30.20 | $31.62 | $35.48 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $229.09 Typical High $251.19 | Professional | UE · Used equipment | $125.89 | $229.09 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $30.20 Median $302.00 Typical High $380.19 | Facility | None | $30.20 | $302.00 | $380.19 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $426.58 | Facility | None | $204.17 | $245.47 | $426.58 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $173.78 Typical High $316.23 | Professional | None | $79.43 | $173.78 | $316.23 |
Providence Setting Professional Modifier RR · Rental Typical Low $17.38 Median $17.38 Typical High $33.88 | Professional | RR · Rental | $17.38 | $17.38 | $33.88 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $257.04 | Professional | UE · Used equipment | $131.83 | $131.83 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $524.81 Typical High $1,202.26 | Facility | None | $251.19 | $524.81 | $1,202.26 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $25.12 Median $52.48 Typical High $120.23 | Facility | RR · Rental | $25.12 | $52.48 | $120.23 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $186.21 Median $398.11 Typical High $912.01 | Facility | UE · Used equipment | $186.21 | $398.11 | $912.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $426.58 | Professional | None | $269.15 | $331.13 | $426.58 |
United Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $295.12 | Professional | None | $158.49 | $169.82 | $295.12 |
United Setting Professional Modifier RR · Rental Typical Low $15.85 Median $16.98 Typical High $29.51 | Professional | RR · Rental | $15.85 | $16.98 | $29.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $125.89 Typical High $223.87 | Professional | UE · Used equipment | $117.49 | $125.89 | $223.87 |
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 $234.42 Median $407.38 Typical High $446.68 | Professional | KU · Bidding program group 3 | $234.42 | $407.38 | $446.68 |
Where Oregon sits
The same service costs 2.8 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· 21st of 51
$251
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.