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 $30.90 Median $34.67 Typical High $51.29 | Facility | None | $30.90 | $34.67 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | None | $30.90 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $17.38 | Professional | 52 · Reduced service | $15.49 | $15.49 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | None | $27.54 | $27.54 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $81.28 | Professional | None | $41.69 | $57.54 | $81.28 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $43.65 Typical High $63.10 | Facility | None | $30.90 | $43.65 | $63.10 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | None | $30.90 | $30.90 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $17.38 | Professional | 52 · Reduced service | $15.49 | $15.49 | $17.38 |
Pacific Source Setting Facility Modifier None Typical Low $30.90 Median $48.98 Typical High $52.48 | Facility | None | $30.90 | $48.98 | $52.48 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $69.18 | Facility | None | $25.12 | $46.77 | $69.18 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $79.43 | Professional | None | $25.70 | $28.84 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $354.81 | Facility | None | $234.42 | $309.03 | $354.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $43.65 | Professional | None | $36.31 | $38.02 | $43.65 |
United Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $501.19 | Facility | None | $323.59 | $398.11 | $501.19 |
United Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $85.11 | Professional | None | $37.15 | $47.86 | $85.11 |
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 59 · Distinct service Typical Low $21.38 Median $40.74 Typical High $77.62 | Professional | 59 · Distinct service | $21.38 | $40.74 | $77.62 |
Where Oregon sits
The same service costs 2.7 times more in North Dakota 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· 10th of 51
$36.31
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.