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 $239.88 Median $239.88 Typical High $295.12 | Professional | None | $239.88 | $239.88 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | None | $281.84 | $281.84 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $1,023.29 Typical High $1,445.44 | Professional | None | $363.08 | $1,023.29 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $346.74 Typical High $489.78 | Facility | None | $46.77 | $346.74 | $489.78 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $512.86 | Professional | None | $239.88 | $446.68 | $512.86 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $37.15 Median $46.77 Typical High $51.29 | Professional | RR · Rental | $37.15 | $46.77 | $51.29 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $331.13 Typical High $363.08 | Professional | UE · Used equipment | $177.83 | $331.13 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $426.58 Median $478.63 Typical High $512.86 | Facility | None | $426.58 | $478.63 | $512.86 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $338.84 Typical High $537.03 | Facility | None | $331.13 | $338.84 | $537.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $281.84 Typical High $457.09 | Professional | None | $79.43 | $281.84 | $457.09 |
Providence Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $47.86 | Professional | RR · Rental | $21.38 | $21.38 | $47.86 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $363.08 | Professional | UE · Used equipment | $158.49 | $158.49 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $1,778.28 | Facility | None | $371.54 | $758.58 | $1,778.28 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $37.15 Median $75.86 Typical High $177.83 | Facility | RR · Rental | $37.15 | $75.86 | $177.83 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $275.42 Median $562.34 Typical High $1,348.96 | Facility | UE · Used equipment | $275.42 | $562.34 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $549.54 | Professional | None | $416.87 | $512.86 | $549.54 |
United Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $457.09 | Professional | None | $223.87 | $239.88 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $22.39 Median $23.99 Typical High $45.71 | Professional | RR · Rental | $22.39 | $23.99 | $45.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $177.83 Typical High $346.74 | Professional | UE · Used equipment | $169.82 | $177.83 | $346.74 |
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 $467.74 Median $489.78 Typical High $549.54 | Professional | KU · Bidding program group 3 | $467.74 | $489.78 | $549.54 |
Where Oregon sits
The same service costs 2.2 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· 11th of 51
$437
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.