How much rates vary
Facilitymedian $166 · 10th to 90th $135 to $191Professionalmedian $110 · 10th to 90th $66 to $209
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 $83.18 Median $109.65 Typical High $109.65 | Professional | None | $83.18 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | None | $66.07 | $66.07 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $323.59 Typical High $407.38 | Professional | None | $141.25 | $323.59 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $190.55 | Facility | None | $109.65 | $158.49 | $190.55 |
Moda Health Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $190.55 | Professional | None | $109.65 | $169.82 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $186.21 | Facility | None | $147.91 | $165.96 | $186.21 |
Pacific Source Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $190.55 | Facility | None | $89.13 | $114.82 | $190.55 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $181.97 | Professional | None | $66.07 | $79.43 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $147.91 Median $295.12 Typical High $707.95 | Facility | None | $147.91 | $295.12 | $707.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $208.93 | Professional | None | $190.55 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $302.00 | Facility | None | $223.87 | $223.87 | $302.00 |
United Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $134.90 | Professional | None | $63.10 | $69.18 | $134.90 |
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 $41.69 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $41.69 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $12.59 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.32 | $10.96 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $52.48 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $22.39 | $22.39 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $15.85 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $10.96 |
Where Oregon sits
The same service costs 5.1 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· 8th of 51
$148
HI $339DE $66.07
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.