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 $1.00 Median $1.48 Typical High $2.40 | Facility | None | $1.00 | $1.48 | $2.40 |
Aetna Setting Professional Modifier None Typical Low $1.00 Median $1.07 Typical High $2.04 | Professional | None | $1.00 | $1.07 | $2.04 |
Cigna Setting Facility Modifier None Typical Low $1.29 Median $1.32 Typical High $2.14 | Facility | None | $1.29 | $1.32 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $0.87 Median $1.00 Typical High $1.12 | Professional | None | $0.87 | $1.00 | $1.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.04 Median $2.51 Typical High $2.63 | Professional | None | $2.04 | $2.51 | $2.63 |
Moda Health Setting Facility Modifier None Typical Low $1.00 Median $1.48 Typical High $4.27 | Facility | None | $1.00 | $1.48 | $4.27 |
Moda Health Setting Professional Modifier None Typical Low $0.89 Median $1.29 Typical High $3.31 | Professional | None | $0.89 | $1.29 | $3.31 |
Pacific Source Setting Facility Modifier None Typical Low $0.83 Median $1.05 Typical High $1.82 | Facility | None | $0.83 | $1.05 | $1.82 |
Providence Setting Facility Modifier None Typical Low $1.00 Median $1.45 Typical High $2.34 | Facility | None | $1.00 | $1.45 | $2.34 |
Providence Setting Professional Modifier None Typical Low $1.00 Median $1.07 Typical High $2.04 | Professional | None | $1.00 | $1.07 | $2.04 |
United Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
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 JZ · No drug discarded Typical Low $0.87 Median $1.12 Typical High $2.24 | Professional | JZ · No drug discarded | $0.87 | $1.12 | $2.24 |
Where Oregon sits
The same service costs 2.5 times more in Texas than in Maryland. 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
$1.20
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.