How much rates vary
Facilitymedian $76 · 10th to 90th $58 to $81Professionalmedian $58 · 10th to 90th $27 to $87
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 $40.74 Median $45.71 Typical High $45.71 | Professional | None | $40.74 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $36.31 | Professional | None | $26.92 | $26.92 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $154.88 Typical High $194.98 | Professional | None | $58.88 | $154.88 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $79.43 | Facility | None | $45.71 | $58.88 | $79.43 |
Moda Health Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $79.43 | Professional | None | $45.71 | $70.79 | $79.43 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $77.62 | Facility | None | $61.66 | $75.86 | $77.62 |
Pacific Source Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $79.43 | Facility | None | $36.31 | $47.86 | $79.43 |
Providence Setting Professional Modifier None Typical Low $26.92 Median $67.61 Typical High $79.43 | Professional | None | $26.92 | $67.61 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $61.66 Median $123.03 Typical High $302.00 | Facility | None | $61.66 | $123.03 | $302.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | None | $79.43 | $87.10 | $87.10 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $147.91 | Facility | None | $109.65 | $109.65 | $147.91 |
United Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $66.07 | Professional | None | $30.90 | $33.88 | $66.07 |
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 $20.42 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $20.42 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.13 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.03 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.07 | $4.57 | $4.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $20.42 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.13 | $9.33 | $9.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.03 | $6.92 | $6.92 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.07 | $4.57 | $4.57 |
Where Oregon sits
The same service costs 2.9 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· 13th of 51
$64.57
HI $91.20DE $31.62
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.