How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,445 to $2,344Professionalmedian $1,288 · 10th to 90th $933 to $2,138
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 $1,122.02 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,122.02 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,288.25 | Professional | None | $933.25 | $933.25 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $5,495.41 | Professional | None | $1,445.44 | $4,265.80 | $5,495.41 |
Moda Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,949.84 | Facility | None | $1,148.15 | $1,445.44 | $1,949.84 |
Moda Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,148.15 | $1,778.28 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $2,344.23 | Facility | None | $1,513.56 | $1,862.09 | $2,344.23 |
Pacific Source Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,905.46 | $1,905.46 | $2,089.30 |
Providence Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,949.84 | Facility | None | $1,174.90 | $1,288.25 | $1,949.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $933.25 Typical High $1,862.09 | Professional | None | $79.43 | $933.25 | $1,862.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $7,413.10 | Facility | None | $1,548.82 | $3,019.95 | $7,413.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,949.84 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,073.80 | Facility | None | $3,090.30 | $3,090.30 | $4,073.80 |
United Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,819.70 | Professional | None | $851.14 | $933.25 | $1,819.70 |
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 $562.34 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $562.34 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $112.20 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Where Oregon sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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
$1,514
HI $3,020AL $933
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.