How much rates vary
Facilitymedian $126 · 10th to 90th $100 to $219Professionalmedian $79 · 10th to 90th $48 to $209
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 $77.62 Median $107.15 Typical High $107.15 | Professional | None | $77.62 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $38.90 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $15.49 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $11.75 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.76 | $10.72 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $281.84 | Professional | None | $131.83 | $213.80 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $154.88 | Facility | None | $97.72 | $107.15 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | None | $97.72 | $107.15 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $41.69 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $16.98 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $12.59 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $8.32 | $10.72 | $10.72 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $128.82 | Facility | None | $100.00 | $125.89 | $128.82 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $524.81 | Facility | None | $109.65 | $144.54 | $524.81 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $2,570,395.78 | Professional | None | $47.86 | $79.43 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $208.93 Typical High $501.19 | Facility | None | $104.71 | $208.93 | $501.19 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Facility | None | $158.49 | $158.49 | $213.80 |
United Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $58.88 | Professional | None | $46.77 | $48.98 | $58.88 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Oregon sits
The same service costs 2.6 times more in Hawaii than in Indiana. 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· 9th of 51
$97.72
HI $126IN $47.86
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.