How much rates vary
Facilitymedian $3,162 · 10th to 90th $2,399 to $4,266Professionalmedian $1,995 · 10th to 90th $1,479 to $3,631
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $7,244.36 Typical High $9,332.54 | Professional | None | $2,454.71 | $7,244.36 | $9,332.54 |
Moda Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $3,311.31 | Facility | None | $1,949.84 | $2,754.23 | $3,311.31 |
Moda Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $3,311.31 | Professional | None | $1,949.84 | $3,019.95 | $3,311.31 |
Pacific Source Setting Facility Modifier None Typical Low $2,570.40 Median $3,162.28 Typical High $4,265.80 | Facility | None | $2,570.40 | $3,162.28 | $4,265.80 |
Providence Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,311.31 | Facility | None | $1,995.26 | $1,995.26 | $3,311.31 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,479.11 Typical High $3,162.28 | Professional | None | $79.43 | $1,479.11 | $3,162.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,630.27 Median $5,128.61 Typical High $12,589.25 | Facility | None | $2,630.27 | $5,128.61 | $12,589.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,311.31 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,311.31 | $3,630.78 | $3,630.78 |
United Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,079.46 | Facility | None | $5,248.07 | $5,248.07 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,479.11 | $1,621.81 | $3,162.28 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Where Oregon sits
The same service costs 4.4 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· 18th of 51
$2,570
HI $6,457DE $1,479
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.