How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,259 to $3,020Professionalmedian $1,259 · 10th to 90th $1,175 to $1,738
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,344.23 Typical High $2,884.03 | Facility | None | $1,318.26 | $2,344.23 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,445.44 | Professional | None | $1,258.93 | $1,258.93 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $2,754.23 Typical High $3,311.31 | Professional | None | $1,258.93 | $2,754.23 | $3,311.31 |
Moda Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,862.09 | Facility | None | $1,258.93 | $1,258.93 | $1,862.09 |
Moda Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,258.93 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,754.23 | Facility | None | $1,318.26 | $1,659.59 | $2,754.23 |
Providence Setting Facility Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,884.03 | Facility | None | $1,318.26 | $1,862.09 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,258.93 Typical High $1,737.80 | Professional | None | $79.43 | $1,258.93 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $4,466.84 | Facility | None | $1,513.56 | $2,137.96 | $4,466.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $2,570.40 Typical High $3,019.95 | Facility | None | $1,258.93 | $2,570.40 | $3,019.95 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,445.44 | Professional | None | $1,258.93 | $1,258.93 | $1,445.44 |
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 $616.60 Median $616.60 Typical High $630.96 | Professional | 52 · Reduced service | $616.60 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
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· 21st of 51
$1,259
AK $1,698FL $1,259
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.