How much rates vary
Facilitymedian $85 · 10th to 90th $65 to $95Professionalmedian $66 · 10th to 90th $44 to $98
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 $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | None | $46.77 | $46.77 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $194.98 Typical High $251.19 | Professional | None | $66.07 | $194.98 | $251.19 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $89.13 | Facility | None | $52.48 | $66.07 | $89.13 |
Moda Health Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $89.13 | Professional | None | $52.48 | $81.28 | $89.13 |
Pacific Source Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $87.10 | Facility | None | $69.18 | $85.11 | $87.10 |
Pacific Source Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $89.13 | Facility | None | $53.70 | $64.57 | $89.13 |
Providence Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $85.11 | Professional | None | $46.77 | $72.44 | $85.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $138.04 Typical High $338.84 | Facility | None | $70.79 | $138.04 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | None | $89.13 | $97.72 | $97.72 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $190.55 | Facility | None | $141.25 | $141.25 | $190.55 |
United Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $85.11 | Professional | None | $39.81 | $43.65 | $85.11 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.25 |
Where Oregon sits
The same service costs 3.5 times more in Hawaii than in New Jersey. 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· 17th of 51
$70.79
HI $166NJ $46.77
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.