How much rates vary
Facilitymedian $1,288 · 10th to 90th $324 to $2,570Professionalmedian $1,862 · 10th to 90th $1,380 to $3,890
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 (both parts) Typical Low $1,148.15 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $239.88 | $269.15 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $912.01 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,819.70 Typical High $2,951.21 | Professional | None (both parts) | $1,288.25 | $1,819.70 | $2,951.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $346.74 Typical High $602.56 | Professional | 26 · Professional part | $257.04 | $346.74 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,445.44 Typical High $2,398.83 | Professional | TC · Technical part | $1,023.29 | $1,445.44 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,041.74 | $2,570.40 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $501.19 Typical High $575.44 | Professional | 26 · Professional part | $407.38 | $501.19 | $575.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $2,041.74 Typical High $2,454.71 | Professional | TC · Technical part | $1,621.81 | $2,041.74 | $2,454.71 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $1,380.38 Typical High $2,570.40 | Facility | None | $446.68 | $1,380.38 | $2,570.40 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,348.96 | $1,380.38 | $1,380.38 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $269.15 Typical High $467.74 | Professional | 26 · Professional part | $245.47 | $269.15 | $467.74 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,047.13 | $1,096.48 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $302.00 Median $1,148.15 Typical High $1,905.46 | Facility | None | $302.00 | $1,148.15 | $1,905.46 |
Pacific Source Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $1,548.82 | Professional | None (both parts) | $309.03 | $309.03 | $1,548.82 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $1,819.70 Typical High $1,659,586.91 | Facility | None | $446.68 | $1,819.70 | $1,659,586.91 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,818.38 Typical High $2,238,721.14 | Professional | None (both parts) | $1,445.44 | $2,818.38 | $2,238,721.14 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $389.05 Typical High $575.44 | Professional | 26 · Professional part | $269.15 | $389.05 | $575.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,621.81 Typical High $2,398.83 | Professional | TC · Technical part | $1,023.29 | $1,621.81 | $2,398.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $4,168.69 | Facility | None | $2,691.53 | $3,630.78 | $4,168.69 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,862.09 Typical High $2,041.74 | Professional | None (both parts) | $1,778.28 | $1,862.09 | $2,041.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $371.54 Typical High $407.38 | Professional | 26 · Professional part | $354.81 | $371.54 | $407.38 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,479.11 Typical High $1,659.59 | Professional | TC · Technical part | $1,445.44 | $1,479.11 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $4,265.80 | Facility | None | $2,754.23 | $3,388.44 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $3,235.94 Typical High $4,570.88 | Professional | None (both parts) | $1,862.09 | $3,235.94 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $426.58 Typical High $630.96 | Professional | 26 · Professional part | $263.03 | $426.58 | $630.96 |
United Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,754.23 Typical High $3,981.07 | Professional | TC · Technical part | $1,548.82 | $2,754.23 | $3,981.07 |
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 $575.44 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $575.44 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $229.09 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $169.82 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $114.82 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $588.84 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $239.88 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $177.83 | $204.17 | $204.17 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $120.23 | $138.04 | $138.04 |
Where Oregon sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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· 7th of 51
$1,862
AK $3,020KY $269
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.