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 Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $389.05 | Facility | None | $173.78 | $302.00 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $218.78 | Professional | None | $125.89 | $173.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $426.58 | Professional | None | $213.80 | $309.03 | $426.58 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $398.11 | Facility | None | $173.78 | $302.00 | $398.11 |
Moda Health Setting Professional Modifier None Typical Low $138.04 Median $218.78 Typical High $346.74 | Professional | None | $138.04 | $218.78 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $316.23 Typical High $331.13 | Facility | None | $177.83 | $316.23 | $331.13 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $302.00 Typical High $426.58 | Facility | None | $109.65 | $302.00 | $426.58 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $398.11 | Professional | None | $162.18 | $251.19 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $346.74 Median $457.09 Typical High $524.81 | Facility | None | $346.74 | $457.09 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $281.84 | Professional | None | $213.80 | $263.03 | $281.84 |
United Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $660.69 | Facility | None | $426.58 | $524.81 | $660.69 |
United Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $426.58 | Professional | None | $186.21 | $269.15 | $426.58 |
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 25 · Same-day visit Typical Low $169.82 Median $457.09 Typical High $457.09 | Professional | 25 · Same-day visit | $169.82 | $457.09 | $457.09 |
Where Oregon sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 4th of 51
$219
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.