How much rates vary
Facilitymedian $123 · 10th to 90th $74 to $427Professionalmedian $93 · 10th to 90th $56 to $162
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 $67.61 Median $95.50 Typical High $162.18 | Facility | None | $67.61 | $95.50 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $109.65 | Professional | None | $43.65 | $69.18 | $109.65 |
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 $60.26 Median $102.33 Typical High $165.96 | Professional | None | $60.26 | $102.33 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $199.53 | Professional | None | $83.18 | $120.23 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $263.03 Typical High $562.34 | Facility | None | $77.62 | $263.03 | $562.34 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $93.33 Typical High $169.82 | Professional | None | $56.23 | $93.33 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $134.90 | Facility | None | $72.44 | $123.03 | $134.90 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $177.83 | Facility | None | $61.66 | $107.15 | $177.83 |
Providence Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $162.18 | Professional | None | $67.61 | $97.72 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $512.86 | Facility | None | $323.59 | $446.68 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $138.04 | Professional | None | $77.62 | $123.03 | $138.04 |
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 $58.88 Median $95.50 Typical High $173.78 | Professional | None | $58.88 | $95.50 | $173.78 |
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 $28.18 Typical High $46.77 | Professional | 52 · Reduced service | $27.54 | $28.18 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | 53 · Discontinued | $11.22 | $11.22 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $13.80 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $9.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | 52 · Reduced service | $27.54 | $27.54 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | 53 · Discontinued | $11.22 | $11.22 | $18.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $13.80 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $13.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $9.33 |
Where Oregon sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 8th of 51
$97.72
AK $195KY $48.98
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.