How much rates vary
Facilitymedian $871 · 10th to 90th $724 to $1,000Professionalmedian $589 · 10th to 90th $363 to $1,096
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 $478.63 Median $588.84 Typical High $588.84 | Professional | None | $478.63 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | None | $363.08 | $363.08 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,819.70 Typical High $2,290.87 | Professional | None | $758.58 | $1,819.70 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $741.31 Typical High $1,000.00 | Facility | None | $489.78 | $741.31 | $1,000.00 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,000.00 | Professional | None | $588.84 | $912.01 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $891.25 Typical High $977.24 | Facility | None | $776.25 | $891.25 | $977.24 |
Pacific Source Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $977.24 | Professional | None | $794.33 | $794.33 | $977.24 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $1,000.00 | Facility | None | $489.78 | $616.60 | $1,000.00 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $363.08 Typical High $954.99 | Professional | None | $79.43 | $363.08 | $954.99 |
Regence BlueShield Setting Facility Modifier None Typical Low $794.33 Median $1,548.82 Typical High $3,801.89 | Facility | None | $794.33 | $1,548.82 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,023.29 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Facility | None | $1,288.25 | $1,288.25 | $1,737.80 |
United Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $776.25 | Professional | None | $354.81 | $398.11 | $776.25 |
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 $239.88 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $70.79 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $47.86 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $70.79 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $47.86 | $58.88 | $58.88 |
Where Oregon sits
The same service costs 3.2 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· 9th of 51
$776
HI $1,175DE $363
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.