How much rates vary
Facilitymedian $195 · 10th to 90th $117 to $1,122Professionalmedian $85 · 10th to 90th $44 to $195
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 $67.61 Median $85.11 Typical High $141.25 | Professional | None | $67.61 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $42.66 Typical High $70.79 | Professional | 52 · Reduced service | $33.88 | $42.66 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $28.18 | Professional | 53 · Discontinued | $13.80 | $16.98 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.59 Typical High $20.89 | Professional | 55 · Aftercare only | $10.23 | $12.59 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.51 Typical High $14.13 | Professional | 56 · Pre-op care only | $6.92 | $8.51 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $79.43 Typical High $169.82 | Professional | None | $43.65 | $79.43 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $239.88 | Professional | None | $67.61 | $114.82 | $239.88 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $245.47 | Facility | None | $97.72 | $151.36 | $245.47 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $141.25 | Professional | None | $67.61 | $97.72 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $42.66 Typical High $70.79 | Professional | 52 · Reduced service | $33.88 | $42.66 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $28.18 | Professional | 53 · Discontinued | $13.80 | $16.98 | $28.18 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.59 Typical High $20.89 | Professional | 55 · Aftercare only | $10.23 | $12.59 | $20.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.51 Typical High $14.13 | Professional | 56 · Pre-op care only | $6.92 | $8.51 | $14.13 |
Pacific Source Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $208.93 | Facility | None | $117.49 | $190.55 | $208.93 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $151.36 Typical High $275.42 | Facility | None | $77.62 | $151.36 | $275.42 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $100.00 Typical High $204.17 | Professional | None | $43.65 | $100.00 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,621.81 | Facility | None | $1,023.29 | $1,380.38 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $144.54 | Professional | None | $57.54 | $89.13 | $144.54 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,778.28 | $2,187.76 |
United Setting Professional Modifier None Typical Low $33.11 Median $93.33 Typical High $177.83 | Professional | None | $33.11 | $93.33 | $177.83 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Oregon sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 10th of 51
$91.20
AK $155MD $54.95
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.