How much rates vary
Facilitymedian $251 · 10th to 90th $195 to $295Professionalmedian $166 · 10th to 90th $115 to $302
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 $138.04 Median $162.18 Typical High $162.18 | Professional | None | $138.04 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $537.03 Typical High $676.08 | Professional | None | $204.17 | $537.03 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $275.42 | Facility | None | $154.88 | $204.17 | $275.42 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $275.42 | Professional | None | $162.18 | $251.19 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $213.80 Median $263.03 Typical High $269.15 | Facility | None | $213.80 | $263.03 | $269.15 |
Pacific Source Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $269.15 | Professional | None | $213.80 | $213.80 | $269.15 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $275.42 | Facility | None | $154.88 | $165.96 | $275.42 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $263.03 | Professional | None | $79.43 | $120.23 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $426.58 Typical High $1,047.13 | Facility | None | $213.80 | $426.58 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | None | $275.42 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $501.19 | Facility | None | $380.19 | $380.19 | $501.19 |
United Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $223.87 | Professional | None | $104.71 | $114.82 | $223.87 |
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 $69.18 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $69.18 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $27.54 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $23.99 Typical High $23.99 | Professional | 55 · Aftercare only | $20.89 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $13.80 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $23.99 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $16.22 |
Where Oregon sits
The same service costs 4.4 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· 13th of 51
$214
HI $525FL $120
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.