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 $81.28 Median $97.72 Typical High $97.72 | Professional | None | $81.28 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $40.74 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $12.02 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.13 | $9.55 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $478.63 Typical High $478.63 | Professional | None | $147.91 | $478.63 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $275.42 | Professional | None | $194.98 | $234.42 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $138.04 Typical High $208.93 | Facility | None | $97.72 | $138.04 | $208.93 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $97.72 | Professional | None | $85.11 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $16.98 | $19.50 | $19.50 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $12.88 | $14.45 | $14.45 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.51 | $9.55 | $9.55 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $186.21 | Facility | None | $112.20 | $181.97 | $186.21 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $208.93 | Facility | None | $104.71 | $151.36 | $208.93 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $194.98 Typical High $478.63 | Professional | None | $79.43 | $194.98 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,548.82 | Facility | None | $1,047.13 | $1,288.25 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $275.42 | Professional | None | $147.91 | $158.49 | $275.42 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,698.24 | Facility | None | $1,096.48 | $1,348.96 | $1,698.24 |
United Setting Professional Modifier None Typical Low $87.10 Median $151.36 Typical High $281.84 | Professional | None | $87.10 | $151.36 | $281.84 |
Where Oregon sits
The same service costs 5.0 times more in Alaska than in Pennsylvania. 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· 4th of 51
$155
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.