How much rates vary
Facilitymedian $224 · 10th to 90th $191 to $646Professionalmedian $112 · 10th to 90th $107 to $490
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 $181.97 Median $186.21 Typical High $186.21 | Professional | None | $181.97 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $91.20 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $36.31 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $26.92 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $18.20 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $489.78 Typical High $660.69 | Professional | None | $229.09 | $489.78 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $269.15 | Facility | None | $169.82 | $186.21 | $269.15 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $218.78 | Professional | None | $169.82 | $186.21 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $27.54 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $18.62 |
Pacific Source Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $223.87 | Facility | None | $218.78 | $218.78 | $223.87 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $251.19 Typical High $912.01 | Facility | None | $190.55 | $251.19 | $912.01 |
Providence Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $2,570,395.78 | Professional | None | $100.00 | $109.65 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $181.97 Median $363.08 Typical High $870.96 | Facility | None | $181.97 | $363.08 | $870.96 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Facility | None | $371.54 | $371.54 | $489.78 |
United Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $134.90 | Professional | None | $107.15 | $112.20 | $134.90 |
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 2.5 times more in Alaska than in Utah. 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· 47th of 51
$112
AK $269UT $110
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.