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 $97.72 Median $123.03 Typical High $123.03 | Professional | None | $97.72 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $234.42 | Professional | None | $162.18 | $194.98 | $234.42 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $229.09 | Facility | None | $123.03 | $173.78 | $229.09 |
Moda Health Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $194.98 | Professional | None | $100.00 | $123.03 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $186.21 | Facility | None | $109.65 | $181.97 | $186.21 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $229.09 | Facility | None | $83.18 | $117.49 | $229.09 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $234.42 | Professional | None | $81.28 | $81.28 | $234.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $158.49 | Professional | None | $144.54 | $151.36 | $158.49 |
United Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $302.00 | Professional | None | $141.25 | $194.98 | $302.00 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $48.98 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $19.50 | $24.55 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $24.55 | $24.55 | $24.55 |
Where Oregon sits
The same service costs 2.2 times more in Nebraska than in Texas. 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· 6th of 51
$151
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.