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 $575.44 Median $851.14 Typical High $1,513.56 | Professional | None | $575.44 | $851.14 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,047.13 Typical High $2,511.89 | Facility | None | $660.69 | $1,047.13 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,659.59 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,778.28 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $1,949.84 | Facility | None | $912.01 | $1,479.11 | $1,949.84 |
Moda Health Setting Professional Modifier None Typical Low $724.44 Median $1,288.25 Typical High $2,630.27 | Professional | None | $724.44 | $1,288.25 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $977.24 Median $1,621.81 Typical High $1,995.26 | Facility | None | $977.24 | $1,621.81 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $1,479.11 Typical High $2,290.87 | Facility | None | $776.25 | $1,479.11 | $2,290.87 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,621.81 Typical High $2,754.23 | Professional | None | $79.43 | $1,621.81 | $2,754.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,513.56 | $1,995.26 | $2,754.23 |
United Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $11,481.54 | Facility | None | $602.56 | $870.96 | $11,481.54 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,951.21 | Professional | None | $977.24 | $1,621.81 | $2,951.21 |
6 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 $416.87 Median $416.87 Typical High $549.54 | Professional | 52 · Reduced service | $416.87 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $162.18 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $549.54 | Professional | 52 · Reduced service | $416.87 | $416.87 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $162.18 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $109.65 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Indiana. 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
$1,585
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.