How much rates vary
Facilitymedian $2,344 · 10th to 90th $87 to $4,365Professionalmedian $1,202 · 10th to 90th $50 to $2,291
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 $35.48 Median $1,202.26 Typical High $1,288.25 | Professional | None | $35.48 | $1,202.26 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $1,288.25 Typical High $3,388.44 | Professional | None | $58.88 | $1,288.25 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $1,202.26 Typical High $3,090.30 | Facility | None | $58.88 | $1,202.26 | $3,090.30 |
Moda Health Setting Professional Modifier None Typical Low $40.74 Median $1,202.26 Typical High $2,511.89 | Professional | None | $40.74 | $1,202.26 | $2,511.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $2,137.96 Typical High $2,398.83 | Facility | None | $1,230.27 | $2,137.96 | $2,398.83 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $1,778.28 Typical High $3,090.30 | Facility | None | $37.15 | $1,778.28 | $3,090.30 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $1,258.93 Typical High $2,511.89 | Professional | None | $66.07 | $1,258.93 | $2,511.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $4,265.80 Typical High $6,760.83 | Facility | None | $2,951.21 | $4,265.80 | $6,760.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $57.54 Median $1,096.48 Typical High $2,089.30 | Professional | None | $57.54 | $1,096.48 | $2,089.30 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $6,456.54 Typical High $7,943.28 | Facility | None | $5,128.61 | $6,456.54 | $7,943.28 |
United Setting Professional Modifier None Typical Low $39.81 Median $1,000.00 Typical High $2,570.40 | Professional | None | $39.81 | $1,000.00 | $2,570.40 |
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 $524.81 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $524.81 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $173.78 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $549.54 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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
$1,230
HI $1,622MD $33.11
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.