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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $181.97 | Facility | None | $81.28 | $128.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | None | $85.11 | $85.11 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $223.87 | Professional | None | $117.49 | $181.97 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $91.20 Typical High $147.91 | Facility | None | $85.11 | $91.20 | $147.91 |
Moda Health Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $97.72 | Professional | None | $81.28 | $85.11 | $97.72 |
Pacific Source Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $169.82 | Facility | None | $81.28 | $102.33 | $169.82 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $181.97 | Facility | None | $85.11 | $128.82 | $181.97 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $109.65 | Professional | None | $79.43 | $85.11 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $316.23 | Facility | None | $181.97 | $257.04 | $316.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | None | $81.28 | $85.11 | $85.11 |
United Setting Facility Modifier None Typical Low $85.11 Median $177.83 Typical High $204.17 | Facility | None | $85.11 | $177.83 | $204.17 |
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | None | $81.28 | $81.28 | $93.33 |
6 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 $42.66 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $40.74 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $12.30 |
Where Oregon sits
Rates are fairly even across states for this service. 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· 24th of 51
$85.11
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.