How much rates vary
Facilitymedian $1,047 · 10th to 90th $813 to $1,259Professionalmedian $741 · 10th to 90th $513 to $1,349
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 $616.60 Median $724.44 Typical High $724.44 | Professional | None | $616.60 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $2,398.83 Typical High $3,019.95 | Professional | None | $912.01 | $2,398.83 | $3,019.95 |
Moda Health Setting Facility Modifier None Typical Low $676.08 Median $912.01 Typical High $1,230.27 | Facility | None | $676.08 | $912.01 | $1,230.27 |
Moda Health Setting Professional Modifier None Typical Low $724.44 Median $1,122.02 Typical High $1,230.27 | Professional | None | $724.44 | $1,122.02 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,202.26 | Facility | None | $954.99 | $1,148.15 | $1,202.26 |
Pacific Source Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,202.26 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,230.27 | Facility | None | $676.08 | $741.31 | $1,230.27 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $537.03 Typical High $1,174.90 | Professional | None | $79.43 | $537.03 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $4,677.35 | Facility | None | $954.99 | $1,905.46 | $4,677.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,348.96 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Facility | None | $1,698.24 | $1,698.24 | $2,238.72 |
United Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $1,023.29 | Professional | None | $467.74 | $512.86 | $1,023.29 |
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 $309.03 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $309.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $61.66 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Where Oregon sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 13th of 51
$955
HI $1,622VT $537
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.