How much rates vary
Facilitymedian $513 · 10th to 90th $363 to $589Professionalmedian $331 · 10th to 90th $240 to $589
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 $316.23 Median $316.23 Typical High $346.74 | Professional | None | $316.23 | $316.23 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $331.13 | Professional | None | $239.88 | $239.88 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $1,202.26 Typical High $1,548.82 | Professional | None | $407.38 | $1,202.26 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $457.09 Typical High $537.03 | Facility | None | $316.23 | $457.09 | $537.03 |
Moda Health Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $537.03 | Professional | None | $316.23 | $416.87 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $524.81 | Facility | None | $416.87 | $512.86 | $524.81 |
Pacific Source Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $537.03 | Facility | None | $331.13 | $331.13 | $537.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $239.88 Typical High $512.86 | Professional | None | $79.43 | $239.88 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $426.58 Median $831.76 Typical High $2,041.74 | Facility | None | $426.58 | $831.76 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $588.84 | Professional | None | $549.54 | $588.84 | $588.84 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Facility | None | $870.96 | $870.96 | $1,148.15 |
United Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $512.86 | Professional | None | $239.88 | $263.03 | $512.86 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $31.62 |
Where Oregon sits
The same service costs 4.1 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· 15th of 51
$417
HI $1,000FL $245
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.