How much rates vary
Facilitymedian $48 · 10th to 90th $4 to $59Professionalmedian $27 · 10th to 90th $21 to $59
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 $25.70 Median $26.92 Typical High $32.36 | Professional | None | $25.70 | $26.92 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $104.71 Typical High $144.54 | Professional | None | $41.69 | $104.71 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $5.01 Median $39.81 Typical High $56.23 | Facility | None | $5.01 | $39.81 | $56.23 |
Moda Health Setting Professional Modifier None Typical Low $26.92 Median $45.71 Typical High $54.95 | Professional | None | $26.92 | $45.71 | $54.95 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $3.89 Median $5.01 Typical High $5.37 | Professional | RR · Rental | $3.89 | $5.01 | $5.37 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $37.15 Typical High $41.69 | Professional | UE · Used equipment | $20.42 | $37.15 | $41.69 |
Pacific Source Setting Facility Modifier None Typical Low $4.37 Median $47.86 Typical High $56.23 | Facility | None | $4.37 | $47.86 | $56.23 |
Pacific Source Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $53.70 | Professional | None | $5.13 | $5.13 | $53.70 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $38.02 Typical High $58.88 | Facility | None | $25.12 | $38.02 | $58.88 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $79.43 | Professional | None | $21.38 | $25.12 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $5.01 | Professional | RR · Rental | $2.14 | $2.14 | $5.01 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $40.74 | Professional | UE · Used equipment | $18.20 | $18.20 | $40.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $41.69 Median $87.10 Typical High $204.17 | Facility | None | $41.69 | $87.10 | $204.17 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $4.17 Median $8.13 Typical High $19.95 | Facility | RR · Rental | $4.17 | $8.13 | $19.95 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $31.62 Median $64.57 Typical High $151.36 | Facility | UE · Used equipment | $31.62 | $64.57 | $151.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $63.10 | Professional | None | $43.65 | $57.54 | $63.10 |
United Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $47.86 | Professional | None | $24.55 | $25.70 | $47.86 |
United Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.29 Typical High $4.27 | Professional | RR · Rental | $2.19 | $2.29 | $4.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $19.05 Typical High $36.31 | Professional | UE · Used equipment | $18.62 | $19.05 | $36.31 |
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 KU · Bidding program group 3 Typical Low $53.70 Median $56.23 Typical High $61.66 | Professional | KU · Bidding program group 3 | $53.70 | $56.23 | $61.66 |
Where Oregon sits
The same service costs 4.8 times more in Hawaii than in New Mexico. 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· 15th of 51
$42.66
HI $117NM $24.55
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.