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 $1.26 Median $1.26 Typical High $1.41 | Professional | None | $1.26 | $1.26 | $1.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.51 Median $2.95 Typical High $151.36 | Professional | None | $2.51 | $2.95 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $1.35 Median $1.55 Typical High $11.48 | Facility | None | $1.35 | $1.55 | $11.48 |
Moda Health Setting Professional Modifier None Typical Low $1.26 Median $1.35 Typical High $12.59 | Professional | None | $1.26 | $1.35 | $12.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Pacific Source Setting Facility Modifier None Typical Low $1.41 Median $1.62 Typical High $13.49 | Facility | None | $1.41 | $1.62 | $13.49 |
Pacific Source Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Providence Setting Facility Modifier None Typical Low $1.20 Median $1.55 Typical High $1.70 | Facility | None | $1.20 | $1.55 | $1.70 |
Providence Setting Professional Modifier None Typical Low $0.78 Median $1.02 Typical High $79.43 | Professional | None | $0.78 | $1.02 | $79.43 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.48 Median $1.55 Typical High $1.55 | Professional | None | $1.48 | $1.55 | $1.55 |
United Setting Professional Modifier None Typical Low $0.56 Median $0.85 Typical High $6.17 | Professional | None | $0.56 | $0.85 | $6.17 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier KL · Delivered by mail Typical Low $10.72 Median $10.96 Typical High $11.48 | Professional | KL · Delivered by mail | $10.72 | $10.96 | $11.48 |
Where Oregon sits
The same service costs 7.4 times more in Kentucky than in Delaware. 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· 31st of 51
$1.26
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.