How much rates vary
Facilitymedian $138 · 10th to 90th $110 to $162Professionalmedian $93 · 10th to 90th $54 to $178
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 $70.79 Median $93.33 Typical High $93.33 | Professional | None | $70.79 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | None | $53.70 | $53.70 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $338.84 | Professional | None | $120.23 | $269.15 | $338.84 |
Moda Health Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $158.49 | Facility | None | $77.62 | $117.49 | $158.49 |
Moda Health Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $158.49 | Professional | None | $93.33 | $144.54 | $158.49 |
Pacific Source Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $158.49 | Facility | None | $114.82 | $141.25 | $158.49 |
Pacific Source Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Providence Setting Facility Modifier None Typical Low $74.13 Median $97.72 Typical High $158.49 | Facility | None | $74.13 | $97.72 | $158.49 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $151.36 | Professional | None | $53.70 | $79.43 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $602.56 | Facility | None | $125.89 | $251.19 | $602.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | None | $162.18 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $257.04 | Facility | None | $190.55 | $190.55 | $257.04 |
United Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $114.82 | Professional | None | $53.70 | $58.88 | $114.82 |
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 $35.48 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $35.48 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $14.13 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.08 | $9.33 | $9.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $46.77 | $46.77 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $15.14 | $18.62 | $18.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $11.48 | $14.13 | $14.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $7.59 | $9.33 | $9.33 |
Where Oregon sits
The same service costs 3.1 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· 9th of 51
$117
HI $170FL $54.95
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.