How much rates vary
Facilitymedian $513 · 10th to 90th $339 to $1,047Professionalmedian $550 · 10th to 90th $331 to $1,047
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $758.58 | Professional | None | $363.08 | $363.08 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $776.25 Typical High $1,000.00 | Professional | None | $263.03 | $776.25 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $389.05 Typical High $1,047.13 | Facility | None | $354.81 | $389.05 | $1,047.13 |
Moda Health Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $758.58 | Professional | None | $331.13 | $363.08 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $1,000.00 | Facility | None | $338.84 | $512.86 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $1,047.13 | Facility | None | $213.80 | $389.05 | $1,047.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $549.54 Typical High $758.58 | Professional | None | $79.43 | $549.54 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $1,584.89 Typical High $1,995.26 | Facility | None | $354.81 | $1,584.89 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $1,071.52 Typical High $1,122.02 | Professional | None | $389.05 | $1,071.52 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Facility | None | $1,479.11 | $1,479.11 | $1,995.26 |
United Setting Professional Modifier None Typical Low $204.17 Median $549.54 Typical High $870.96 | Professional | None | $204.17 | $549.54 | $870.96 |
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 $181.97 Median $181.97 Typical High $239.88 | Professional | 52 · Reduced service | $181.97 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | 53 · Discontinued | $72.44 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $70.79 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $47.86 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | 52 · Reduced service | $181.97 | $181.97 | $204.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $81.28 | Professional | 53 · Discontinued | $72.44 | $72.44 | $81.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $60.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $40.74 |
Where Oregon sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 42nd of 51
$550
HI $1,230UT $479
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.