How much rates vary
Facilitymedian $562 · 10th to 90th $389 to $871Professionalmedian $389 · 10th to 90th $331 to $501
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 $389.05 Median $389.05 Typical High $537.03 | Professional | None | $389.05 | $389.05 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $831.76 | Facility | None | $389.05 | $676.08 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $436.52 | Professional | None | $389.05 | $389.05 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $851.14 Typical High $1,023.29 | Professional | None | $295.12 | $851.14 | $1,023.29 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $389.05 Typical High $524.81 | Facility | None | $354.81 | $389.05 | $524.81 |
Moda Health Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $512.86 | Professional | None | $389.05 | $407.38 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $489.78 Typical High $812.83 | Facility | None | $338.84 | $489.78 | $812.83 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $831.76 | Facility | None | $389.05 | $588.84 | $831.76 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $389.05 Typical High $478.63 | Professional | None | $79.43 | $389.05 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $426.58 Median $588.84 Typical High $1,258.93 | Facility | None | $426.58 | $588.84 | $1,258.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | None | $389.05 | $389.05 | $446.68 |
United Setting Facility Modifier None Typical Low $389.05 Median $794.33 Typical High $933.25 | Facility | None | $389.05 | $794.33 | $933.25 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | None | $389.05 | $389.05 | $446.68 |
9 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 $194.98 Median $194.98 Typical High $213.80 | Professional | 52 · Reduced service | $194.98 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $42.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 52 · Reduced service | $194.98 | $194.98 | $204.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | 53 · Discontinued | $77.62 | $77.62 | $81.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $61.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $40.74 |
Moda Health Setting Professional Modifier JZ · No drug discarded Typical Low $389.05 Median $398.11 Typical High $676.08 | Professional | JZ · No drug discarded | $389.05 | $398.11 | $676.08 |
Where Oregon sits
The same service costs 1.7 times more in Alaska than in Oklahoma. 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· 20th of 51
$389
AK $589OK $355
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.