How much rates vary
Facilitymedian $631 · 10th to 90th $479 to $851Professionalmedian $398 · 10th to 90th $295 to $724
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 $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $1,445.44 Typical High $1,862.09 | Professional | None | $489.78 | $1,445.44 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $549.54 Typical High $660.69 | Facility | None | $380.19 | $549.54 | $660.69 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $660.69 | Professional | None | $380.19 | $588.84 | $660.69 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $630.96 Typical High $851.14 | Facility | None | $512.86 | $630.96 | $851.14 |
Pacific Source Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | None | $512.86 | $512.86 | $645.65 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $660.69 | Facility | None | $398.11 | $398.11 | $660.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $295.12 Typical High $630.96 | Professional | None | $79.43 | $295.12 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $2,454.71 | Facility | None | $512.86 | $1,023.29 | $2,454.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $724.44 | Professional | None | $660.69 | $724.44 | $724.44 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,380.38 | Facility | None | $1,047.13 | $1,047.13 | $1,380.38 |
United Setting Professional Modifier None Typical Low $288.40 Median $316.23 Typical High $630.96 | Professional | None | $288.40 | $316.23 | $630.96 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $77.62 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Where Oregon sits
The same service costs 3.0 times more in Montana 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· 16th of 51
$513
MT $871FL $295
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.