How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,380 to $1,950Professionalmedian $1,288 · 10th to 90th $891 to $1,995
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 $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $3,981.07 Typical High $5,248.07 | Professional | None | $1,348.96 | $3,981.07 | $5,248.07 |
Moda Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,513.56 | $1,819.70 |
Moda Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,659.59 | $1,819.70 |
Pacific Source Setting Facility Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,412.54 | $1,737.80 | $1,778.28 |
Pacific Source Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,819.70 | Facility | None | $1,122.02 | $1,380.38 | $1,819.70 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,023.29 Typical High $1,737.80 | Professional | None | $79.43 | $1,023.29 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,445.44 | $2,818.38 | $6,918.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,862.09 | $1,995.26 | $1,995.26 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,890.45 | Facility | None | $2,884.03 | $2,884.03 | $3,890.45 |
United Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,737.80 | Professional | None | $812.83 | $891.25 | $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 $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $537.03 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Where Oregon sits
The same service costs 2.7 times more in Hawaii 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· 17th of 51
$1,413
HI $2,630FL $977
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.