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 Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $380.19 | Professional | None | $245.47 | $371.54 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $812.83 | Professional | None | $331.13 | $478.63 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $812.83 | Professional | None | $537.03 | $676.08 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $741.31 | Facility | None | $371.54 | $562.34 | $741.31 |
Moda Health Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $812.83 | Professional | None | $257.04 | $371.54 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $575.44 | Facility | None | $269.15 | $457.09 | $575.44 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $630.96 | Facility | None | $354.81 | $512.86 | $630.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $478.63 Typical High $851.14 | Professional | None | $79.43 | $478.63 | $851.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $758.58 | Professional | None | $537.03 | $588.84 | $758.58 |
United Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $831.76 | Professional | None | $354.81 | $436.52 | $831.76 |
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 $151.36 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $60.26 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $45.71 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.20 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $61.66 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $46.77 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.90 | $37.15 | $37.15 |
Where Oregon sits
The same service costs 2.8 times more in Alaska than in New York. 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
$479
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.