How much rates vary
Facilitymedian $214 · 10th to 90th $178 to $457Professionalmedian $105 · 10th to 90th $100 to $457
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 $162.18 Median $173.78 Typical High $173.78 | Professional | None | $162.18 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $24.55 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.22 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $457.09 Typical High $616.60 | Professional | None | $218.78 | $457.09 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $251.19 | Facility | None | $158.49 | $173.78 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $204.17 | Professional | None | $162.18 | $173.78 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $25.70 | $26.30 | $26.30 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
Pacific Source Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $213.80 | Facility | None | $208.93 | $208.93 | $213.80 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $851.14 | Facility | None | $177.83 | $239.88 | $851.14 |
Providence Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $2,570,395.78 | Professional | None | $100.00 | $104.71 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $812.83 | Facility | None | $169.82 | $338.84 | $812.83 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $457.09 | Facility | None | $346.74 | $346.74 | $457.09 |
United Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $123.03 | Professional | None | $100.00 | $104.71 | $123.03 |
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 3.3 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· 46th of 51
$115
AK $347UT $105
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.