How much rates vary
Facilitymedian $148 · 10th to 90th $49 to $380Professionalmedian $58 · 10th to 90th $17 to $155
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 $26.92 Median $47.86 Typical High $109.65 | Professional | None | $26.92 | $47.86 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $23.99 Typical High $54.95 | Professional | 52 · Reduced service | $13.49 | $23.99 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $9.55 Typical High $21.88 | Professional | 53 · Discontinued | $5.37 | $9.55 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $7.08 Typical High $16.22 | Professional | 55 · Aftercare only | $3.98 | $7.08 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $4.79 Typical High $10.96 | Professional | 56 · Pre-op care only | $2.69 | $4.79 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $57.54 Typical High $123.03 | Professional | None | $16.98 | $57.54 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.18 Median $79.43 Typical High $199.53 | Professional | None | $28.18 | $79.43 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $107.15 Typical High $181.97 | Facility | None | $38.02 | $107.15 | $181.97 |
Moda Health Setting Professional Modifier None Typical Low $26.92 Median $66.07 Typical High $109.65 | Professional | None | $26.92 | $66.07 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $23.99 Typical High $54.95 | Professional | 52 · Reduced service | $13.49 | $23.99 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $9.55 Typical High $21.88 | Professional | 53 · Discontinued | $5.37 | $9.55 | $21.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $7.08 Typical High $16.22 | Professional | 55 · Aftercare only | $3.98 | $7.08 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $4.79 Typical High $10.96 | Professional | 56 · Pre-op care only | $2.69 | $4.79 | $10.96 |
Pacific Source Setting Facility Modifier None Typical Low $48.98 Median $141.25 Typical High $162.18 | Facility | None | $48.98 | $141.25 | $162.18 |
Providence Setting Facility Modifier None Typical Low $32.36 Median $107.15 Typical High $208.93 | Facility | None | $32.36 | $107.15 | $208.93 |
Providence Setting Professional Modifier None Typical Low $16.98 Median $69.18 Typical High $158.49 | Professional | None | $16.98 | $69.18 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $512.86 | Facility | None | $323.59 | $446.68 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $112.20 | Professional | None | $23.99 | $36.31 | $112.20 |
United Setting Facility Modifier None Typical Low $426.58 Median $524.81 Typical High $660.69 | Facility | None | $426.58 | $524.81 | $660.69 |
United Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $131.83 | Professional | None | $30.20 | $39.81 | $131.83 |
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 4.4 times more in Hawaii than in Washington, DC. 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· 19th of 51
$57.54
HI $110DC $25.12
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.