How much rates vary
Facilitymedian $83 · 10th to 90th $49 to $234Professionalmedian $65 · 10th to 90th $40 to $102
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 $38.90 Median $38.90 Typical High $60.26 | Professional | None | $38.90 | $38.90 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $47.86 Typical High $66.07 | Facility | None | $38.90 | $47.86 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $64.57 Typical High $104.71 | Professional | None | $39.81 | $64.57 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $112.20 | Professional | None | $50.12 | $74.13 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $53.70 Median $77.62 Typical High $107.15 | Facility | None | $53.70 | $77.62 | $107.15 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $91.20 | Professional | None | $38.90 | $60.26 | $91.20 |
Pacific Source Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $87.10 | Facility | None | $50.12 | $83.18 | $87.10 |
Providence Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $107.15 | Facility | None | $38.90 | $53.70 | $107.15 |
Providence Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $104.71 | Professional | None | $44.67 | $74.13 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $630.96 | Facility | None | $398.11 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $87.10 | Professional | None | $53.70 | $81.28 | $87.10 |
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 $42.66 Median $67.61 Typical High $112.20 | Professional | None | $42.66 | $67.61 | $112.20 |
9 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 $19.50 Median $19.50 Typical High $30.20 | Professional | 52 · Reduced service | $19.50 | $19.50 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $12.02 | Professional | 53 · Discontinued | $7.94 | $7.94 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $5.89 Typical High $9.12 | Professional | 55 · Aftercare only | $5.89 | $5.89 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $6.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | 52 · Reduced service | $19.50 | $19.50 | $30.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $12.02 | Professional | 53 · Discontinued | $7.94 | $7.94 | $12.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $5.89 Typical High $9.12 | Professional | 55 · Aftercare only | $5.89 | $5.89 | $9.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $6.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $602.56 Median $831.76 Typical High $933.25 | Facility | 50 · Both sides | $602.56 | $831.76 | $933.25 |
Where Oregon sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 6th of 51
$70.79
AK $112VA $33.88
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.