How much rates vary
Facilitymedian $589 · 10th to 90th $398 to $1,148Professionalmedian $617 · 10th to 90th $380 to $1,175
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 $407.38 Median $407.38 Typical High $616.60 | Professional | None | $407.38 | $407.38 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $891.25 Typical High $1,148.15 | Professional | None | $302.00 | $891.25 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $426.58 Typical High $1,148.15 | Facility | None | $407.38 | $426.58 | $1,148.15 |
Moda Health Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $794.33 | Professional | None | $389.05 | $407.38 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $588.84 Typical High $1,122.02 | Facility | None | $398.11 | $588.84 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $446.68 Typical High $1,148.15 | Facility | None | $245.47 | $446.68 | $1,148.15 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $616.60 Typical High $851.14 | Professional | None | $79.43 | $616.60 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $407.38 Median $1,819.70 Typical High $2,187.76 | Facility | None | $407.38 | $1,819.70 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $1,174.90 Typical High $1,258.93 | Professional | None | $446.68 | $1,174.90 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,737.80 | $1,737.80 | $2,290.87 |
United Setting Professional Modifier None Typical Low $239.88 Median $630.96 Typical High $1,000.00 | Professional | None | $239.88 | $630.96 | $1,000.00 |
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 $204.17 Median $204.17 Typical High $275.42 | Professional | 52 · Reduced service | $204.17 | $204.17 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | 53 · Discontinued | $81.28 | $81.28 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $83.18 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $54.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 52 · Reduced service | $204.17 | $204.17 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $81.28 | $81.28 | $91.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $69.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $45.71 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $45.71 |
Where Oregon sits
The same service costs 2.8 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· 43rd of 51
$617
HI $1,514UT $550
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.