How much rates vary
Facilitymedian $23 · 10th to 90th $15 to $708Professionalmedian $23 · 10th to 90th $17 to $41
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 $13.18 Median $16.98 Typical High $16.98 | Professional | None | $13.18 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $660.69 Typical High $776.25 | Facility | None | $537.03 | $660.69 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $31.62 | Professional | None | $15.85 | $21.38 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $26.30 | Professional | None | $19.05 | $22.39 | $26.30 |
Moda Health Setting Facility Modifier None Typical Low $16.98 Median $27.54 Typical High $32.36 | Facility | None | $16.98 | $27.54 | $32.36 |
Moda Health Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $30.90 | Professional | None | $16.98 | $17.78 | $30.90 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $22.91 Typical High $23.99 | Facility | None | $14.13 | $22.91 | $23.99 |
Providence Setting Facility Modifier None Typical Low $16.60 Median $446.68 Typical High $11,481.54 | Facility | None | $16.60 | $446.68 | $11,481.54 |
Providence Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $79.43 | Professional | None | $16.60 | $28.18 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,737.80 | Facility | None | $1,148.15 | $1,548.82 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $34.67 | Professional | None | $22.39 | $23.44 | $34.67 |
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 $17.78 Median $25.12 Typical High $40.74 | Professional | None | $17.78 | $25.12 | $40.74 |
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 $6.61 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $6.61 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $2.63 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.57 Typical High $2.57 | Professional | 55 · Aftercare only | $1.95 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.70 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.32 | $1.70 | $1.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.51 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.39 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 55 · Aftercare only | $2.57 | $2.57 | $2.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $1.70 |
Where Oregon sits
The same service costs 12.3 times more in Florida 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· 12th of 51
$23.44
FL $132KY $10.72
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.