How much rates vary
Facilitymedian $138 · 10th to 90th $91 to $2,239Professionalmedian $126 · 10th to 90th $79 to $191
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $93.33 | Professional | None | $69.18 | $91.20 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $190.55 | Professional | None | $91.20 | $114.82 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $165.96 | Professional | None | $114.82 | $131.83 | $165.96 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $190.55 | Facility | None | $112.20 | $131.83 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $199.53 | Professional | None | $69.18 | $91.20 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $138.04 Typical High $141.25 | Facility | None | $83.18 | $138.04 | $141.25 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $162.18 Typical High $190.55 | Facility | None | $69.18 | $162.18 | $190.55 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $204.17 | Professional | None | $79.43 | $131.83 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $2,884.03 | Facility | None | $1,905.46 | $2,454.71 | $2,884.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $186.21 | Professional | None | $128.82 | $141.25 | $186.21 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $3,388.44 | Facility | None | $2,187.76 | $2,691.53 | $3,388.44 |
United Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $213.80 | Professional | None | $107.15 | $131.83 | $213.80 |
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 $37.15 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $11.22 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.41 | $9.12 | $9.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $38.02 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $15.14 | $18.20 | $18.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $11.48 | $13.80 | $13.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.59 | $9.12 | $9.12 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$126
AK $182FL $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.