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 Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $354.81 | Facility | None | $162.18 | $213.80 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $213.80 | Professional | None | $114.82 | $162.18 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $346.74 | Professional | None | $131.83 | $213.80 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $380.19 | Professional | None | $190.55 | $269.15 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $234.42 Typical High $363.08 | Facility | None | $162.18 | $234.42 | $363.08 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $426.58 | Professional | None | $141.25 | $213.80 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $165.96 Median $288.40 Typical High $302.00 | Facility | None | $165.96 | $288.40 | $302.00 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $363.08 | Facility | None | $134.90 | $281.84 | $363.08 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $218.78 Typical High $354.81 | Professional | None | $79.43 | $218.78 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $602.56 | Facility | None | $269.15 | $398.11 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $263.03 | Professional | None | $186.21 | $239.88 | $263.03 |
United Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $363.08 | Professional | None | $169.82 | $239.88 | $363.08 |
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 $66.07 Median $81.28 Typical High $107.15 | Professional | 52 · Reduced service | $66.07 | $81.28 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $24.55 Typical High $31.62 | Professional | 55 · Aftercare only | $19.95 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $16.22 Typical High $21.38 | Professional | 56 · Pre-op care only | $13.18 | $16.22 | $21.38 |
Moda Health Setting Professional Modifier 25 · Same-day visit Typical Low $186.21 Median $380.19 Typical High $524.81 | Professional | 25 · Same-day visit | $186.21 | $380.19 | $524.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $81.28 Typical High $107.15 | Professional | 52 · Reduced service | $74.13 | $81.28 | $107.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $24.55 Typical High $31.62 | Professional | 55 · Aftercare only | $22.39 | $24.55 | $31.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.22 Typical High $21.38 | Professional | 56 · Pre-op care only | $15.14 | $16.22 | $21.38 |
Where Oregon sits
The same service costs 2.7 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· 6th of 51
$214
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.