How much rates vary
Facilitymedian $676 · 10th to 90th $525 to $776Professionalmedian $447 · 10th to 90th $275 to $832
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 Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $446.68 | Professional | None | $346.74 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $1,348.96 Typical High $1,698.24 | Professional | None | $575.44 | $1,348.96 | $1,698.24 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $758.58 | Facility | None | $446.68 | $562.34 | $758.58 |
Moda Health Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $758.58 | Professional | None | $446.68 | $691.83 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $741.31 | Facility | None | $588.84 | $676.08 | $741.31 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $467.74 Typical High $758.58 | Facility | None | $380.19 | $467.74 | $758.58 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $275.42 Typical High $724.44 | Professional | None | $79.43 | $275.42 | $724.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $2,884.03 | Facility | None | $602.56 | $1,174.90 | $2,884.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $831.76 | Professional | None | $776.25 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,258.93 | Facility | None | $954.99 | $954.99 | $1,258.93 |
United Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $562.34 | Professional | None | $263.03 | $288.40 | $562.34 |
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 $173.78 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $173.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $52.48 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $34.67 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $190.55 | $223.87 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $77.62 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $57.54 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.90 | $44.67 | $44.67 |
Where Oregon sits
The same service costs 3.7 times more in Hawaii than in Florida. 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
$589
HI $1,023FL $275
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.