How much rates vary
Facilitymedian $1,288 · 10th to 90th $977 to $1,514Professionalmedian $832 · 10th to 90th $603 to $1,479
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 $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $1,023.29 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 $794.33 Median $1,000.00 Typical High $1,348.96 | Facility | None | $794.33 | $1,000.00 | $1,348.96 |
Moda Health Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,348.96 | Professional | None | $794.33 | $1,230.27 | $1,348.96 |
Pacific Source Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,479.11 | Facility | None | $1,047.13 | $1,288.25 | $1,479.11 |
Pacific Source Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,348.96 | Facility | None | $831.76 | $831.76 | $1,348.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $1,288.25 | Professional | None | $79.43 | $602.56 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,137.96 | $5,128.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,380.38 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,380.38 | $1,479.11 | $1,479.11 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,884.03 | Facility | None | $2,187.76 | $2,187.76 | $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 $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Where Oregon sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 16th of 51
$1,047
HI $2,239KS $513
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.