How much rates vary
Facilitymedian $398 · 10th to 90th $339 to $468Professionalmedian $275 · 10th to 90th $174 to $513
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 $229.09 Median $275.42 Typical High $275.42 | Professional | None | $229.09 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None | $173.78 | $173.78 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $870.96 Typical High $1,096.48 | Professional | None | $354.81 | $870.96 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $467.74 | Facility | None | $229.09 | $346.74 | $467.74 |
Moda Health Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $467.74 | Professional | None | $275.42 | $426.58 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $457.09 | Facility | None | $363.08 | $416.87 | $457.09 |
Pacific Source Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $288.40 Typical High $467.74 | Facility | None | $234.42 | $288.40 | $467.74 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $173.78 Typical High $446.68 | Professional | None | $79.43 | $173.78 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,778.28 | Facility | None | $371.54 | $724.44 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $512.86 | Professional | None | $478.63 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Facility | None | $616.60 | $616.60 | $831.76 |
United Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $371.54 | Professional | None | $169.82 | $190.55 | $371.54 |
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 $114.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $33.88 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $22.91 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $50.12 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $37.15 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $25.12 | $27.54 | $27.54 |
Where Oregon sits
The same service costs 5.5 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· 11th of 51
$363
HI $955FL $174
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.