How much rates vary
Facilitymedian $166 · 10th to 90th $107 to $1,660Professionalmedian $155 · 10th to 90th $81 to $224
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 $104.71 Median $112.20 Typical High $112.20 | Professional | None | $104.71 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $251.19 | Professional | None | $117.49 | $144.54 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $190.55 | Professional | None | $134.90 | $165.96 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $194.98 Typical High $263.03 | Facility | None | $112.20 | $194.98 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $186.21 | Professional | None | $112.20 | $112.20 | $186.21 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $165.96 Typical High $181.97 | Facility | None | $97.72 | $165.96 | $181.97 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $194.98 Typical High $263.03 | Facility | None | $79.43 | $194.98 | $263.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $239.88 | Professional | None | $79.43 | $147.91 | $239.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,187.76 | Facility | None | $1,445.44 | $1,862.09 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $173.78 | Professional | None | $151.36 | $154.88 | $173.78 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,174.90 | $1,479.11 | $1,819.70 |
United Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $275.42 | Professional | None | $120.23 | $186.21 | $275.42 |
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 $50.12 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $15.14 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.23 | $11.22 | $11.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $53.70 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $16.98 Typical High $16.98 | Professional | 55 · Aftercare only | $15.85 | $16.98 | $16.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.72 | $11.22 | $11.22 |
Where Oregon sits
The same service costs 2.9 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· 7th of 51
$155
AK $219FL $75.86
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.