How much rates vary
Facilitymedian $33 · 10th to 90th $30 to $65Professionalmedian $31 · 10th to 90th $31 to $42
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 $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $51.29 Typical High $64.57 | Facility | None | $30.90 | $51.29 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $33.11 | Professional | None | $30.90 | $30.90 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $66.07 Typical High $87.10 | Professional | None | $35.48 | $66.07 | $87.10 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $41.69 | Facility | None | $30.90 | $30.90 | $41.69 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Pacific Source Setting Facility Modifier None Typical Low $29.51 Median $30.90 Typical High $52.48 | Facility | None | $29.51 | $30.90 | $52.48 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $46.77 Typical High $64.57 | Facility | None | $30.90 | $46.77 | $64.57 |
Providence Setting Professional Modifier None Typical Low $30.90 Median $38.02 Typical High $70.79 | Professional | None | $30.90 | $38.02 | $70.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.88 Median $50.12 Typical High $107.15 | Facility | None | $33.88 | $50.12 | $107.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | None | $28.18 | $30.90 | $30.90 |
United Setting Facility Modifier None Typical Low $30.90 Median $63.10 Typical High $74.13 | Facility | None | $30.90 | $63.10 | $74.13 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $35.48 | Professional | None | $30.90 | $30.90 | $35.48 |
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 $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $4.68 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $3.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $4.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $3.09 |
Where Oregon sits
Rates are fairly even across states for this service. 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· 37th of 51
$30.90
AK $38.90CA $30.90
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.