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 $30.20 Median $30.20 Typical High $38.02 | Professional | None | $30.20 | $30.20 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $128.82 Typical High $177.83 | Professional | None | $46.77 | $128.82 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $5.89 Median $44.67 Typical High $60.26 | Facility | None | $5.89 | $44.67 | $60.26 |
Moda Health Setting Professional Modifier None Typical Low $30.20 Median $48.98 Typical High $63.10 | Professional | None | $30.20 | $48.98 | $63.10 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $4.68 Median $5.89 Typical High $6.31 | Professional | RR · Rental | $4.68 | $5.89 | $6.31 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $38.02 Typical High $46.77 | Professional | UE · Used equipment | $22.91 | $38.02 | $46.77 |
Pacific Source Setting Facility Modifier None Typical Low $6.03 Median $54.95 Typical High $61.66 | Facility | None | $6.03 | $54.95 | $61.66 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $43.65 Typical High $63.10 | Facility | None | $39.81 | $43.65 | $63.10 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $79.43 | Professional | None | $33.88 | $39.81 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $6.03 | Professional | RR · Rental | $2.63 | $2.63 | $6.03 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $44.67 | Professional | UE · Used equipment | $19.95 | $19.95 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $229.09 | Facility | None | $47.86 | $95.50 | $229.09 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $4.79 Median $9.55 Typical High $22.91 | Facility | RR · Rental | $4.79 | $9.55 | $22.91 |
Regence BlueShield Setting Facility Modifier UE · Used equipment Typical Low $35.48 Median $72.44 Typical High $173.78 | Facility | UE · Used equipment | $35.48 | $72.44 | $173.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $69.18 | Professional | None | $53.70 | $66.07 | $69.18 |
United Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $58.88 | Professional | None | $28.18 | $30.20 | $58.88 |
United Setting Professional Modifier RR · Rental Typical Low $2.82 Median $3.02 Typical High $5.89 | Professional | RR · Rental | $2.82 | $3.02 | $5.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $22.39 Typical High $44.67 | Professional | UE · Used equipment | $20.89 | $22.39 | $44.67 |
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 $57.54 Median $60.26 Typical High $66.07 | Professional | KU · Bidding program group 3 | $57.54 | $60.26 | $66.07 |
Where Oregon sits
The same service costs 3.4 times more in Wisconsin than in Kansas. 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· 27th of 51
$44.67
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.