How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,660 to $2,455Professionalmedian $1,413 · 10th to 90th $871 to $2,630
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 $1,071.52 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $4,073.80 Typical High $5,128.61 | Professional | None | $1,819.70 | $4,073.80 | $5,128.61 |
Moda Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,398.83 | Facility | None | $1,288.25 | $1,778.28 | $2,398.83 |
Moda Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $2,398.83 | Professional | None | $1,412.54 | $2,187.76 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $2,344.23 | Facility | None | $1,862.09 | $2,290.87 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,479.11 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $870.96 Typical High $2,290.87 | Professional | None | $79.43 | $870.96 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,905.46 | $3,715.35 | $9,120.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,454.71 | $2,630.27 | $2,630.27 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,801.89 | Facility | None | $2,884.03 | $2,884.03 | $3,801.89 |
United Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,737.80 | Professional | None | $794.33 | $870.96 | $1,737.80 |
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 $524.81 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $524.81 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $213.80 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $158.49 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $588.84 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $234.42 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $173.78 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $117.49 | $141.25 | $141.25 |
Where Oregon sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 12th of 51
$1,862
HI $3,467PA $871
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.