How much rates vary
Facilitymedian $617 · 10th to 90th $490 to $692Professionalmedian $380 · 10th to 90th $309 to $708
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 $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $1,412.54 Typical High $1,819.70 | Professional | None | $478.63 | $1,412.54 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $630.96 | Facility | None | $371.54 | $537.03 | $630.96 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $630.96 | Professional | None | $371.54 | $575.44 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $616.60 Typical High $630.96 | Facility | None | $501.19 | $616.60 | $630.96 |
Pacific Source Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $524.81 Typical High $630.96 | Facility | None | $389.05 | $524.81 | $630.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $380.19 Typical High $616.60 | Professional | None | $79.43 | $380.19 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $2,398.83 | Facility | None | $501.19 | $1,000.00 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $707.95 | Professional | None | $645.65 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Facility | None | $1,023.29 | $1,023.29 | $1,348.96 |
United Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $616.60 | Professional | None | $281.84 | $309.03 | $616.60 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $37.15 |
Where Oregon sits
The same service costs 2.8 times more in Hawaii than in Maryland. 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· 20th of 51
$501
HI $977MD $355
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.