How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,230 to $1,820Professionalmedian $977 · 10th to 90th $692 to $1,862
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 $912.01 Median $977.24 Typical High $977.24 | Professional | None | $912.01 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $3,467.37 Typical High $4,365.16 | Professional | None | $1,258.93 | $3,467.37 | $4,365.16 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,698.24 | Facility | None | $977.24 | $1,412.54 | $1,698.24 |
Moda Health Setting Professional Modifier None Typical Low $977.24 Median $1,513.56 Typical High $1,698.24 | Professional | None | $977.24 | $1,513.56 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,318.26 | $1,621.81 | $1,698.24 |
Pacific Source Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,698.24 | Facility | None | $933.25 | $1,023.29 | $1,698.24 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $691.83 Typical High $1,621.81 | Professional | None | $79.43 | $691.83 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $6,309.57 | Facility | None | $1,318.26 | $2,630.27 | $6,309.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,698.24 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,311.31 | Facility | None | $2,454.71 | $2,454.71 | $3,311.31 |
United Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,479.11 | Professional | None | $676.08 | $758.58 | $1,479.11 |
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 $457.09 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $181.97 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $134.90 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $91.20 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $489.78 | $489.78 | $489.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $194.98 | $199.53 | $199.53 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $144.54 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $97.72 |
Where Oregon sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 14th of 51
$1,318
HI $1,778DE $692
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.