How much rates vary
Facilitymedian $1,318 · 10th to 90th $1,023 to $1,514Professionalmedian $851 · 10th to 90th $617 to $1,514
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 $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $3,019.95 Typical High $3,890.45 | Professional | None | $1,023.29 | $3,019.95 | $3,890.45 |
Moda Health Setting Facility Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,380.38 | Facility | None | $812.83 | $1,148.15 | $1,380.38 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,380.38 | Professional | None | $812.83 | $1,258.93 | $1,380.38 |
Pacific Source Setting Facility Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,513.56 | Facility | None | $1,071.52 | $1,318.26 | $1,513.56 |
Pacific Source Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,479.11 | Professional | None | $1,202.26 | $1,202.26 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $1,380.38 | Facility | None | $831.76 | $851.14 | $1,380.38 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $616.60 Typical High $1,318.26 | Professional | None | $79.43 | $616.60 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $5,248.07 | Facility | None | $1,096.48 | $2,137.96 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,513.56 | $1,513.56 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Facility | None | $2,187.76 | $2,187.76 | $2,951.21 |
United Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $1,318.26 | Professional | None | $616.60 | $676.08 | $1,318.26 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Where Oregon sits
The same service costs 3.0 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· 17th of 51
$1,072
HI $1,820DE $617
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.