How much rates vary
Facilitymedian $339 · 10th to 90th $204 to $1,148Professionalmedian $316 · 10th to 90th $182 to $468
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 $204.17 Median $251.19 Typical High $251.19 | Professional | None | $204.17 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $489.78 | Professional | None | $234.42 | $275.42 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $489.78 | Professional | None | $302.00 | $380.19 | $489.78 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $467.74 | Facility | None | $251.19 | $389.05 | $467.74 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $371.54 | Professional | None | $251.19 | $275.42 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $346.74 | Facility | None | $204.17 | $316.23 | $346.74 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $467.74 | Facility | None | $251.19 | $389.05 | $467.74 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $323.59 Typical High $489.78 | Professional | None | $79.43 | $323.59 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,445.44 | Facility | None | $912.01 | $1,174.90 | $1,445.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $436.52 | Professional | None | $309.03 | $338.84 | $436.52 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,318.26 | $1,621.81 |
United Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $524.81 | Professional | None | $251.19 | $323.59 | $524.81 |
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 $102.33 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $40.74 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $30.90 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $20.42 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $123.03 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $48.98 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $36.31 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $24.55 | $25.12 | $25.12 |
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· 6th of 51
$324
AK $447FL $155
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.