How much rates vary
Facilitymedian $3,020 · 10th to 90th $2,291 to $3,467Professionalmedian $2,042 · 10th to 90th $1,259 to $3,802
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 $1,659.59 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,659.59 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,570.40 Median $6,456.54 Typical High $8,128.31 | Professional | None | $2,570.40 | $6,456.54 | $8,128.31 |
Moda Health Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,388.44 | Facility | None | $1,995.26 | $2,511.89 | $3,388.44 |
Moda Health Setting Professional Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $3,388.44 | Professional | None | $2,041.74 | $3,090.30 | $3,388.44 |
Pacific Source Setting Facility Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,388.44 | Facility | None | $2,691.53 | $3,019.95 | $3,388.44 |
Pacific Source Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Providence Setting Facility Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $3,388.44 | Facility | None | $1,737.80 | $2,041.74 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,258.93 Typical High $3,311.31 | Professional | None | $79.43 | $1,258.93 | $3,311.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,691.53 Median $5,370.32 Typical High $12,882.50 | Facility | None | $2,691.53 | $5,370.32 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,467.37 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,467.37 | $3,801.89 | $3,801.89 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $6,025.60 | Facility | None | $4,570.88 | $4,570.88 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,380.38 | $2,754.23 |
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 $831.76 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $831.76 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $338.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $251.19 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $165.96 | $204.17 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $204.17 |
Where Oregon sits
The same service costs 2.7 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· 14th of 51
$2,692
HI $3,388DE $1,259
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.