How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,230 to $1,820Professionalmedian $1,047 · 10th to 90th $603 to $1,950
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 $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | None | $794.33 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $3,019.95 Typical High $3,801.89 | Professional | None | $1,348.96 | $3,019.95 | $3,801.89 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $1,318.26 Typical High $1,778.28 | Facility | None | $870.96 | $1,318.26 | $1,778.28 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,047.13 | $1,621.81 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,737.80 | Facility | None | $1,288.25 | $1,584.89 | $1,737.80 |
Pacific Source Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,445.44 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,778.28 | Facility | None | $831.76 | $1,096.48 | $1,778.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $1,698.24 | Professional | None | $79.43 | $602.56 | $1,698.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,412.54 Median $2,754.23 Typical High $6,760.83 | Facility | None | $1,412.54 | $2,754.23 | $6,760.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,819.70 | $1,949.84 | $1,949.84 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,884.03 | Facility | None | $2,137.96 | $2,137.96 | $2,884.03 |
United Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,288.25 | Professional | None | $602.56 | $660.69 | $1,288.25 |
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 $398.11 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $398.11 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $117.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $79.43 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $398.11 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $117.49 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $79.43 | $104.71 | $104.71 |
Where Oregon sits
The same service costs 5.4 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· 7th of 51
$1,318
HI $3,236FL $603
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.