How much rates vary
Facilitymedian $41 · 10th to 90th $22 to $44Professionalmedian $14 · 10th to 90th $14 to $71
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 $13.80 Median $13.80 Typical High $16.60 | Professional | None | $13.80 | $13.80 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.34 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.38 Typical High $1.66 | Professional | 56 · Pre-op care only | $1.38 | $1.38 | $1.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $47.86 Typical High $61.66 | Professional | None | $38.90 | $47.86 | $61.66 |
Moda Health Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $43.65 | Facility | None | $13.80 | $19.95 | $43.65 |
Moda Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.92 | $6.92 | $6.92 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | 55 · Aftercare only | $2.09 | $2.09 | $2.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.38 | $1.38 | $1.38 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $44.67 | Facility | None | $25.70 | $40.74 | $44.67 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $27.54 Typical High $43.65 | Facility | None | $19.50 | $27.54 | $43.65 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $66.07 Typical High $79.43 | Professional | None | $25.70 | $66.07 | $79.43 |
Where Oregon sits
The same service costs 14.5 times more in Texas than in West Virginia. 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· 47th of 51
$13.80
TX $120WV $8.32
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.