How much rates vary
Facilitymedian $759 · 10th to 90th $575 to $871Professionalmedian $513 · 10th to 90th $331 to $977
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 $436.52 Median $512.86 Typical High $512.86 | Professional | None | $436.52 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,659.59 Typical High $2,089.30 | Professional | None | $660.69 | $1,659.59 | $2,089.30 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $870.96 | Facility | None | $446.68 | $645.65 | $870.96 |
Moda Health Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $870.96 | Professional | None | $512.86 | $794.33 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $870.96 | Facility | None | $676.08 | $776.25 | $870.96 |
Pacific Source Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $870.96 | Professional | None | $776.25 | $776.25 | $870.96 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $537.03 Typical High $870.96 | Facility | None | $446.68 | $537.03 | $870.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $331.13 Typical High $831.76 | Professional | None | $79.43 | $331.13 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $3,311.31 | Facility | None | $691.83 | $1,380.38 | $3,311.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $977.24 | Professional | None | $891.25 | $977.24 | $977.24 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,584.89 | Facility | None | $1,174.90 | $1,174.90 | $1,584.89 |
United Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $707.95 | Professional | None | $323.59 | $363.08 | $707.95 |
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 $218.78 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $218.78 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $87.10 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $64.57 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $43.65 | $51.29 | $51.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $239.88 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $95.50 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $72.44 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $47.86 | $51.29 | $51.29 |
Where Oregon sits
The same service costs 4.6 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
$676
HI $1,514DE $331
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.