How much rates vary
Facilitymedian $66 · 10th to 90th $51 to $76Professionalmedian $50 · 10th to 90th $32 to $78
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 $38.90 Median $41.69 Typical High $43.65 | Professional | None | $38.90 | $41.69 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $46.77 | Professional | None | $33.88 | $33.88 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $147.91 Typical High $190.55 | Professional | None | $53.70 | $147.91 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $70.79 | Facility | None | $41.69 | $52.48 | $70.79 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $70.79 | Professional | None | $41.69 | $54.95 | $70.79 |
Pacific Source Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $69.18 | Facility | None | $54.95 | $66.07 | $69.18 |
Pacific Source Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | None | $66.07 | $69.18 | $69.18 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $46.77 Typical High $70.79 | Facility | None | $43.65 | $46.77 | $70.79 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $79.43 | Professional | None | $33.88 | $58.88 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $56.23 Median $109.65 Typical High $269.15 | Facility | None | $56.23 | $109.65 | $269.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | None | $72.44 | $77.62 | $77.62 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $141.25 | Facility | None | $107.15 | $107.15 | $141.25 |
United Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $64.57 | Professional | None | $29.51 | $32.36 | $64.57 |
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 $19.50 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $19.50 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $7.76 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $5.89 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.89 | $4.17 | $4.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $20.42 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.13 | $8.32 | $8.32 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $6.17 | $6.31 | $6.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $4.07 | $4.17 | $4.17 |
Where Oregon sits
The same service costs 3.1 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· 17th of 51
$56.23
HI $105FL $33.88
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.