How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.50 Median $0.50 Typical High $0.50 | Professional | None | $0.50 | $0.50 | $0.50 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | None | $1.20 | $1.20 | $1.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | None | $169.82 | $169.82 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $0.50 Median $0.72 Typical High $0.72 | Facility | None | $0.50 | $0.72 | $0.72 |
Moda Health Setting Professional Modifier None Typical Low $61.66 Median $758.58 Typical High $4,168.69 | Professional | None | $61.66 | $758.58 | $4,168.69 |
Providence Setting Facility Modifier None Typical Low $0.50 Median $0.50 Typical High $0.72 | Facility | None | $0.50 | $0.50 | $0.72 |
Providence Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $79.43 | Professional | None | $1.20 | $1.20 | $79.43 |
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 $0.25 Median $0.25 Typical High $0.25 | Professional | 52 · Reduced service | $0.25 | $0.25 | $0.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.10 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.08 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 52 · Reduced service | $0.25 | $0.25 | $0.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.10 | $0.10 | $0.10 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.08 | $0.08 | $0.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Where Oregon sits
The same service costs 3981.1 times more in Oregon than in Hawaii. 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· 1st of 51
$676
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.