How much rates vary
Facilitymedian $141 · 10th to 90th $83 to $468Professionalmedian $100 · 10th to 90th $62 to $182
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 Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $208.93 | Facility | None | $123.03 | $123.03 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $104.71 | Professional | None | $39.81 | $61.66 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $831.76 | Facility | None | $51.29 | $95.50 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $213.80 | Professional | None | $64.57 | $117.49 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $218.78 | Professional | None | $77.62 | $102.33 | $218.78 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $125.89 Typical High $208.93 | Facility | None | $74.13 | $125.89 | $208.93 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $158.49 | Professional | None | $47.86 | $79.43 | $158.49 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $131.83 Typical High $158.49 | Facility | None | $83.18 | $131.83 | $158.49 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $125.89 Typical High $562.34 | Facility | None | $61.66 | $125.89 | $562.34 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $194.98 | Professional | None | $70.79 | $107.15 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $794.33 | Facility | None | $524.81 | $691.83 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $162.18 | Professional | None | $87.10 | $134.90 | $162.18 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $69.18 Median $120.23 Typical High $218.78 | Professional | None | $69.18 | $120.23 | $218.78 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.90 Typical High $52.48 | Professional | 52 · Reduced service | $27.54 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.30 Typical High $20.89 | Professional | 53 · Discontinued | $10.96 | $12.30 | $20.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.33 Typical High $15.85 | Professional | 55 · Aftercare only | $8.13 | $9.33 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.17 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.50 | $6.17 | $10.47 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $30.90 Typical High $52.48 | Professional | 52 · Reduced service | $27.54 | $30.90 | $52.48 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $12.30 Typical High $20.89 | Professional | 53 · Discontinued | $10.96 | $12.30 | $20.89 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.33 Typical High $15.85 | Professional | 55 · Aftercare only | $8.13 | $9.33 | $15.85 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.17 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.50 | $6.17 | $10.47 |
Where Oregon sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 5th of 51
$117
AK $191NJ $57.54
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.