How much rates vary
Facilitymedian $813 · 10th to 90th $646 to $955Professionalmedian $562 · 10th to 90th $372 to $1,047
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 $489.78 Median $562.34 Typical High $562.34 | Professional | None | $489.78 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,905.46 Typical High $2,398.83 | Professional | None | $707.95 | $1,905.46 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $954.99 | Facility | None | $562.34 | $707.95 | $954.99 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $954.99 | Professional | None | $562.34 | $870.96 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $741.31 Median $831.76 Typical High $933.25 | Facility | None | $741.31 | $831.76 | $933.25 |
Pacific Source Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $831.76 | Professional | None | $741.31 | $812.83 | $831.76 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $575.44 Typical High $954.99 | Facility | None | $512.86 | $575.44 | $954.99 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $912.01 | Professional | None | $79.43 | $371.54 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $3,630.78 | Facility | None | $741.31 | $1,479.11 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,047.13 | Professional | None | $954.99 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,778.28 | Facility | None | $1,348.96 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $794.33 | Professional | None | $371.54 | $407.38 | $794.33 |
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 $245.47 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $245.47 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $97.72 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $74.13 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $48.98 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $269.15 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $107.15 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $81.28 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $53.70 | $56.23 | $56.23 |
Where Oregon sits
The same service costs 3.2 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· 14th of 51
$741
HI $1,202DE $372
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.