How much rates vary
Facilitymedian $589 · 10th to 90th $468 to $692Professionalmedian $417 · 10th to 90th $275 to $741
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 $338.84 Median $398.11 Typical High $398.11 | Professional | None | $338.84 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $1,288.25 Typical High $1,621.81 | Professional | None | $512.86 | $1,288.25 | $1,621.81 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $676.08 | Facility | None | $389.05 | $501.19 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $676.08 | Professional | None | $398.11 | $616.60 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $602.56 Typical High $660.69 | Facility | None | $524.81 | $602.56 | $660.69 |
Pacific Source Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $676.08 | Facility | None | $389.05 | $416.87 | $676.08 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $309.03 Typical High $645.65 | Professional | None | $79.43 | $309.03 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $1,071.52 Typical High $2,570.40 | Facility | None | $537.03 | $1,071.52 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $741.31 | Professional | None | $691.83 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,202.26 | Facility | None | $912.01 | $912.01 | $1,202.26 |
United Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $549.54 | Professional | None | $251.19 | $275.42 | $549.54 |
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 $165.96 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $165.96 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $67.61 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $50.12 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $33.88 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $199.53 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $69.18 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $51.29 | $60.26 | $60.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $34.67 | $39.81 | $39.81 |
Where Oregon sits
The same service costs 2.9 times more in Hawaii than in Washington, DC. 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· 13th of 51
$525
HI $871DC $302
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.