How much rates vary
Facilitymedian $1,479 · 10th to 90th $1,175 to $1,622Professionalmedian $1,072 · 10th to 90th $741 to $1,738
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 $891.25 Median $933.25 Typical High $933.25 | Professional | None | $891.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | None | $831.76 | $831.76 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $3,388.44 Typical High $4,365.16 | Professional | None | $1,202.26 | $3,388.44 | $4,365.16 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,584.89 | Facility | None | $933.25 | $1,174.90 | $1,584.89 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $1,584.89 | Professional | None | $933.25 | $1,445.44 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,230.27 | $1,479.11 | $1,548.82 |
Pacific Source Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,584.89 | Facility | None | $977.24 | $1,148.15 | $1,584.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $831.76 Typical High $1,513.56 | Professional | None | $79.43 | $831.76 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,258.93 Median $2,454.71 Typical High $6,025.60 | Facility | None | $1,258.93 | $2,454.71 | $6,025.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,621.81 | $1,737.80 | $1,737.80 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,235.94 | Facility | None | $2,398.83 | $2,398.83 | $3,235.94 |
United Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,445.44 | Professional | None | $676.08 | $741.31 | $1,445.44 |
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 $446.68 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $446.68 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $177.83 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $134.90 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $89.13 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Where Oregon sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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
$1,230
HI $3,236WV $832
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.