How much rates vary
Facilitymedian $1,148 · 10th to 90th $891 to $1,288Professionalmedian $741 · 10th to 90th $537 to $1,318
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 $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $2,630.27 Typical High $3,467.37 | Professional | None | $912.01 | $2,630.27 | $3,467.37 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,202.26 | Facility | None | $707.95 | $891.25 | $1,202.26 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,202.26 | Professional | None | $707.95 | $1,096.48 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,174.90 | Facility | None | $933.25 | $1,148.15 | $1,174.90 |
Pacific Source Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,071.52 | $1,071.52 | $1,174.90 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,202.26 | Facility | None | $741.31 | $741.31 | $1,202.26 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $537.03 Typical High $1,148.15 | Professional | None | $79.43 | $537.03 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,862.09 Typical High $4,570.88 | Facility | None | $954.99 | $1,862.09 | $4,570.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,230.27 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,570.40 | Facility | None | $1,905.46 | $1,905.46 | $2,570.40 |
United Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $1,148.15 | Professional | None | $537.03 | $588.84 | $1,148.15 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
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· 17th of 51
$933
HI $2,455DE $537
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.