How much rates vary
Facilitymedian $27 · 10th to 90th $16 to $646Professionalmedian $28 · 10th to 90th $19 to $49
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 $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $1.91 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $199.53 Typical High $199.53 | Professional | None | $26.92 | $199.53 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $120.23 | Professional | None | $77.62 | $102.33 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $27.54 | Facility | None | $19.05 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | None | $17.78 | $19.05 | $19.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $8.91 | $9.55 | $9.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.55 | $3.80 | $3.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.69 | $2.88 | $2.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.91 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.78 | $1.91 | $1.91 |
Pacific Source Setting Facility Modifier None Typical Low $15.85 Median $22.91 Typical High $26.92 | Facility | None | $15.85 | $22.91 | $26.92 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $53.70 Typical High $1,659,586.91 | Facility | None | $38.02 | $53.70 | $1,659,586.91 |
Providence Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $79.43 | Professional | None | $34.67 | $50.12 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $630.96 | Facility | None | $407.38 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $33.11 | Professional | None | $26.92 | $28.84 | $33.11 |
United Setting Facility Modifier None Typical Low $512.86 Median $4,897.79 Typical High $6,165.95 | Facility | None | $512.86 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $57.54 | Professional | None | $20.89 | $31.62 | $57.54 |
Where Oregon sits
The same service costs 19.1 times more in Indiana than in Delaware. 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· 17th of 51
$27.54
IN $257DE $13.49
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.