How much rates vary
Facilitymedian $646 · 10th to 90th $380 to $776Professionalmedian $83 · 10th to 90th $31 to $851
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 $30.90 Median $223.87 Typical High $446.68 | Professional | None | $30.90 | $223.87 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $323.59 Typical High $1,000.00 | Professional | None | $34.67 | $323.59 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $1,000.00 | Professional | None | $40.74 | $57.54 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $44.67 Typical High $630.96 | Facility | None | $30.90 | $44.67 | $630.96 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $223.87 Typical High $776.25 | Professional | None | $30.90 | $223.87 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $724.44 | Facility | None | $389.05 | $645.65 | $724.44 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $489.78 Typical High $933.25 | Facility | None | $23.99 | $489.78 | $933.25 |
Providence Setting Professional Modifier None Typical Low $38.90 Median $79.43 Typical High $1,000.00 | Professional | None | $38.90 | $79.43 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,621.81 | Facility | None | $954.99 | $1,348.96 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $107.15 Typical High $724.44 | Professional | None | $46.77 | $107.15 | $724.44 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,995.26 | Facility | None | $1,288.25 | $1,621.81 | $1,995.26 |
United Setting Professional Modifier None Typical Low $24.55 Median $186.21 Typical High $416.87 | Professional | None | $24.55 | $186.21 | $416.87 |
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 $15.49 Median $104.71 Typical High $223.87 | Professional | 52 · Reduced service | $15.49 | $104.71 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $41.69 Typical High $89.13 | Professional | 53 · Discontinued | $6.17 | $41.69 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $31.62 Typical High $66.07 | Professional | 55 · Aftercare only | $4.68 | $31.62 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $20.89 Typical High $44.67 | Professional | 56 · Pre-op care only | $3.09 | $20.89 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $104.71 Typical High $223.87 | Professional | 52 · Reduced service | $15.49 | $104.71 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $41.69 Typical High $89.13 | Professional | 53 · Discontinued | $6.17 | $41.69 | $89.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $31.62 Typical High $66.07 | Professional | 55 · Aftercare only | $4.68 | $31.62 | $66.07 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $20.89 Typical High $44.67 | Professional | 56 · Pre-op care only | $3.09 | $20.89 | $44.67 |
Where Oregon sits
The same service costs 28.7 times more in Washington 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.
Physician feeFacility fee
WA $1,537DC $53.50
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.