How much rates vary
Facilitymedian $288 · 10th to 90th $229 to $324Professionalmedian $186 · 10th to 90th $129 to $347
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 $158.49 Median $186.21 Typical High $186.21 | Professional | None | $158.49 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $616.60 Typical High $776.25 | Professional | None | $239.88 | $616.60 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $316.23 | Facility | None | $181.97 | $234.42 | $316.23 |
Moda Health Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $316.23 | Professional | None | $177.83 | $245.47 | $316.23 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $288.40 Typical High $309.03 | Facility | None | $245.47 | $288.40 | $309.03 |
Pacific Source Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $194.98 Typical High $316.23 | Facility | None | $177.83 | $194.98 | $316.23 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $302.00 | Professional | None | $79.43 | $128.82 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $1,202.26 | Facility | None | $251.19 | $489.78 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | None | $323.59 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $575.44 | Facility | None | $436.52 | $436.52 | $575.44 |
United Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $263.03 | Professional | None | $120.23 | $131.83 | $263.03 |
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 $79.43 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $32.36 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $23.99 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $15.85 | $18.62 | $18.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $18.62 |
Where Oregon sits
The same service costs 3.5 times more in Hawaii than in Delaware. 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
$245
HI $457DE $129
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.