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 $9.77 Median $15.14 Typical High $25.12 | Professional | None | $9.77 | $15.14 | $25.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $12.30 | Professional | 52 · Reduced service | $6.03 | $6.03 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $46.77 | Professional | None | $15.14 | $23.44 | $46.77 |
Moda Health Setting Facility Modifier None Typical Low $12.02 Median $25.12 Typical High $43.65 | Facility | None | $12.02 | $25.12 | $43.65 |
Moda Health Setting Professional Modifier None Typical Low $10.23 Median $19.50 Typical High $33.11 | Professional | None | $10.23 | $19.50 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.03 Typical High $12.30 | Professional | 52 · Reduced service | $6.03 | $6.03 | $12.30 |
Pacific Source Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $36.31 | Facility | None | $20.42 | $33.88 | $36.31 |
Providence Setting Facility Modifier None Typical Low $7.59 Median $22.39 Typical High $46.77 | Facility | None | $7.59 | $22.39 | $46.77 |
Providence Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $56.23 | Professional | None | $15.14 | $19.50 | $56.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $128.82 | Facility | None | $81.28 | $104.71 | $128.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $14.79 Median $26.92 Typical High $32.36 | Professional | None | $14.79 | $26.92 | $32.36 |
United Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $186.21 | Facility | None | $120.23 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $14.45 Median $25.70 Typical High $42.66 | Professional | None | $14.45 | $25.70 | $42.66 |
2 more rates 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 59 · Distinct service Typical Low $16.98 Median $30.90 Typical High $57.54 | Professional | 59 · Distinct service | $16.98 | $30.90 | $57.54 |
Moda Health Setting Professional Modifier XU · Unusual separate service Typical Low $15.14 Median $15.14 Typical High $21.38 | Professional | XU · Unusual separate service | $15.14 | $15.14 | $21.38 |
Where Oregon sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 8th of 51
$19.05
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.