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 $79.43 Median $104.71 Typical High $154.88 | Professional | None | $79.43 | $104.71 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $239.88 | Professional | None | $87.10 | $147.91 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $275.42 | Professional | None | $120.23 | $186.21 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $263.03 | Facility | None | $104.71 | $165.96 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $151.36 Typical High $263.03 | Professional | None | $95.50 | $151.36 | $263.03 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $218.78 | Facility | None | $120.23 | $208.93 | $218.78 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $181.97 Typical High $263.03 | Facility | None | $85.11 | $181.97 | $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 $190.55 Median $288.40 Typical High $446.68 | Facility | None | $190.55 | $288.40 | $446.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $190.55 | Professional | None | $120.23 | $177.83 | $190.55 |
United Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $257.04 | Professional | None | $112.20 | $169.82 | $257.04 |
7 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 $47.86 Median $52.48 Typical High $77.62 | Professional | 52 · Reduced service | $47.86 | $52.48 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.85 Typical High $23.44 | Professional | 55 · Aftercare only | $14.45 | $15.85 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.47 Typical High $15.49 | Professional | 56 · Pre-op care only | $9.55 | $10.47 | $15.49 |
Moda Health Setting Professional Modifier 25 · Same-day visit Typical Low $123.03 Median $316.23 Typical High $389.05 | Professional | 25 · Same-day visit | $123.03 | $316.23 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $77.62 | Professional | 52 · Reduced service | $52.48 | $52.48 | $77.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.85 Typical High $23.44 | Professional | 55 · Aftercare only | $15.49 | $15.85 | $23.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $15.49 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $15.49 |
Where Oregon sits
The same service costs 2.9 times more in Alaska 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.
Oregon· 4th of 51
$151
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.