How much rates vary
Facilitymedian $339 · 10th to 90th $229 to $389Professionalmedian $214 · 10th to 90th $158 to $389
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 $208.93 Median $208.93 Typical High $218.78 | Professional | None | $208.93 | $208.93 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None | $158.49 | $158.49 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $776.25 Typical High $1,000.00 | Professional | None | $263.03 | $776.25 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $208.93 Median $263.03 Typical High $354.81 | Facility | None | $208.93 | $263.03 | $354.81 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $354.81 | Professional | None | $208.93 | $316.23 | $354.81 |
Pacific Source Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $346.74 | Facility | None | $275.42 | $338.84 | $346.74 |
Pacific Source Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $223.87 Typical High $354.81 | Facility | None | $213.80 | $223.87 | $354.81 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $338.84 | Professional | None | $79.43 | $158.49 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $1,348.96 | Facility | None | $275.42 | $549.54 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | None | $354.81 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Facility | None | $562.34 | $562.34 | $758.58 |
United Setting Professional Modifier None Typical Low $154.88 Median $173.78 Typical High $338.84 | Professional | None | $154.88 | $173.78 | $338.84 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
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· 15th of 51
$275
HI $692FL $158
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.