How much rates vary
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 $41.69 Median $64.57 Typical High $67.61 | Professional | None | $41.69 | $64.57 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $114.82 | Professional | None | $52.48 | $66.07 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $97.72 | Professional | None | $61.66 | $77.62 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $109.65 Typical High $138.04 | Facility | None | $64.57 | $109.65 | $138.04 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $109.65 | Professional | None | $50.12 | $64.57 | $109.65 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $102.33 | Facility | None | $61.66 | $74.13 | $102.33 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $64.57 Typical High $138.04 | Facility | None | $37.15 | $64.57 | $138.04 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $87.10 Typical High $114.82 | Professional | None | $58.88 | $87.10 | $114.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $109.65 | Professional | None | $60.26 | $63.10 | $109.65 |
United Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $128.82 | Professional | None | $63.10 | $97.72 | $128.82 |
6 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 $16.98 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $16.98 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $5.13 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $3.39 | $6.46 | $6.46 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $16.98 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $5.13 | $9.55 | $9.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $3.39 | $6.46 | $6.46 |
Where Oregon sits
The same service costs 2.6 times more in Nebraska than in Texas. 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· 5th of 51
$79.43
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.