How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,122 to $1,622Professionalmedian $955 · 10th to 90th $646 to $1,820
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 $851.14 Median $954.99 Typical High $954.99 | Professional | None | $851.14 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $4,168.69 | Professional | None | $1,230.27 | $3,311.31 | $4,168.69 |
Moda Health Setting Facility Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,621.81 | Facility | None | $954.99 | $1,202.26 | $1,621.81 |
Moda Health Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,621.81 | Professional | None | $954.99 | $1,479.11 | $1,621.81 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,288.25 | $1,445.44 | $1,621.81 |
Pacific Source Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,621.81 | Facility | None | $891.25 | $1,000.00 | $1,621.81 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $1,584.89 | Professional | None | $79.43 | $645.65 | $1,584.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,288.25 | $2,570.40 | $6,165.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,659.59 | $1,819.70 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,090.30 | Facility | None | $2,344.23 | $2,344.23 | $3,090.30 |
United Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $1,380.38 | Professional | None | $645.65 | $707.95 | $1,380.38 |
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 $426.58 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $426.58 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $426.58 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $169.82 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $128.82 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $95.50 |
Where Oregon sits
The same service costs 3.0 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· 15th of 51
$1,288
HI $1,950DE $646
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.