How much rates vary
Facilitymedian $537 · 10th to 90th $447 to $676Professionalmedian $372 · 10th to 90th $229 to $692
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 $275.42 Median $371.54 Typical High $371.54 | Professional | None | $275.42 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None | $257.04 | $257.04 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $1,071.52 Typical High $1,348.96 | Professional | None | $467.74 | $1,071.52 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $630.96 | Facility | None | $309.03 | $467.74 | $630.96 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $630.96 | Professional | None | $371.54 | $562.34 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $537.03 Typical High $616.60 | Facility | None | $467.74 | $537.03 | $616.60 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $380.19 Typical High $630.96 | Facility | None | $309.03 | $380.19 | $630.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $257.04 Typical High $602.56 | Professional | None | $79.43 | $257.04 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $977.24 Typical High $2,398.83 | Facility | None | $489.78 | $977.24 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $691.83 | Professional | None | $630.96 | $691.83 | $691.83 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Facility | None | $758.58 | $758.58 | $1,000.00 |
United Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $446.68 | Professional | None | $208.93 | $229.09 | $446.68 |
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 $138.04 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $41.69 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $27.54 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $138.04 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $54.95 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $41.69 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $27.54 | $37.15 | $37.15 |
Where Oregon sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 12th of 51
$468
HI $832FL $240
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.