How much rates vary
Facilitymedian $977 · 10th to 90th $794 to $1,175Professionalmedian $692 · 10th to 90th $479 to $1,202
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 $588.84 Median $645.65 Typical High $645.65 | Professional | None | $588.84 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $2,238.72 Typical High $2,818.38 | Professional | None | $831.76 | $2,238.72 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $1,096.48 | Facility | None | $645.65 | $812.83 | $1,096.48 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,096.48 | Professional | None | $645.65 | $1,000.00 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $1,071.52 | Facility | None | $851.14 | $977.24 | $1,071.52 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,096.48 | Facility | None | $676.08 | $758.58 | $1,096.48 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $549.54 Typical High $1,047.13 | Professional | None | $79.43 | $549.54 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,698.24 Typical High $4,168.69 | Facility | None | $870.96 | $1,698.24 | $4,168.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,122.02 | $1,202.26 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,089.30 | Facility | None | $1,584.89 | $1,584.89 | $2,089.30 |
United Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $954.99 | Professional | None | $436.52 | $478.63 | $954.99 |
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 $288.40 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $117.49 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $87.10 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $58.88 | $64.57 | $64.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $323.59 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $128.82 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
Where Oregon sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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
$851
HI $1,445AZ $550
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.