How much rates vary
Facilitymedian $141 · 10th to 90th $89 to $182Professionalmedian $138 · 10th to 90th $79 to $200
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 $91.20 Median $107.15 Typical High $107.15 | Professional | None | $91.20 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $208.93 | Professional | None | $100.00 | $120.23 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | None | $134.90 | $165.96 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $199.53 | Facility | None | $107.15 | $173.78 | $199.53 |
Moda Health Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $162.18 | Professional | None | $107.15 | $123.03 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $151.36 | Facility | None | $83.18 | $134.90 | $151.36 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $199.53 | Facility | None | $109.65 | $173.78 | $199.53 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $208.93 | Professional | None | $79.43 | $138.04 | $208.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $112.20 Median $162.18 Typical High $190.55 | Facility | None | $112.20 | $162.18 | $190.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $134.90 Median $144.54 Typical High $186.21 | Professional | None | $134.90 | $144.54 | $186.21 |
United Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $229.09 | Facility | None | $147.91 | $186.21 | $229.09 |
United Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $229.09 | Professional | None | $112.20 | $141.25 | $229.09 |
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 $45.71 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $45.71 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $18.20 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $13.49 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.12 | $10.72 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $52.48 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $15.49 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.47 | $10.72 | $10.72 |
Where Oregon sits
The same service costs 3.0 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· 6th of 51
$138
AK $195FL $64.57
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.