How much rates vary
Facilitymedian $5,370 · 10th to 90th $4,365 to $6,607Professionalmedian $3,631 · 10th to 90th $2,291 to $6,761
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 $2,754.23 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,754.23 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,630.78 | Professional | None | $2,691.53 | $2,691.53 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,570.88 Median $10,715.19 Typical High $13,489.63 | Professional | None | $4,570.88 | $10,715.19 | $13,489.63 |
Moda Health Setting Facility Modifier None Typical Low $3,388.44 Median $4,570.88 Typical High $6,025.60 | Facility | None | $3,388.44 | $4,570.88 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $3,630.78 Median $5,495.41 Typical High $6,025.60 | Professional | None | $3,630.78 | $5,495.41 | $6,025.60 |
Pacific Source Setting Facility Modifier None Typical Low $4,786.30 Median $5,888.44 Typical High $6,025.60 | Facility | None | $4,786.30 | $5,888.44 | $6,025.60 |
Pacific Source Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,606.93 | Professional | None | $6,025.60 | $6,025.60 | $6,606.93 |
Providence Setting Facility Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $6,025.60 | Facility | None | $3,388.44 | $3,630.78 | $6,025.60 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,691.53 Typical High $5,888.44 | Professional | None | $79.43 | $2,691.53 | $5,888.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,786.30 Median $9,549.93 Typical High $22,908.68 | Facility | None | $4,786.30 | $9,549.93 | $22,908.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $6,165.95 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,165.95 | $6,760.83 | $6,760.83 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $10,000.00 | Facility | None | $7,413.10 | $7,413.10 | $10,000.00 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $4,466.84 | Professional | None | $2,137.96 | $2,290.87 | $4,466.84 |
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 $1,380.38 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,380.38 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $549.54 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $416.87 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $275.42 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,819.70 | $1,819.70 | $1,819.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $724.44 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 56 · Pre-op care only | $363.08 | $363.08 | $363.08 |
Where Oregon sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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
$4,786
HI $7,413PA $2,455
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.