How much rates vary
Facilitymedian $4,266 · 10th to 90th $3,311 to $5,012Professionalmedian $2,951 · 10th to 90th $1,995 to $5,495
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 $2,398.83 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,995.26 | $1,995.26 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,715.35 Median $9,120.11 Typical High $11,481.54 | Professional | None | $3,715.35 | $9,120.11 | $11,481.54 |
Moda Health Setting Facility Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $5,011.87 | Facility | None | $2,630.27 | $3,715.35 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,570.88 Typical High $5,011.87 | Professional | None | $2,951.21 | $4,570.88 | $5,011.87 |
Pacific Source Setting Facility Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $4,897.79 | Facility | None | $3,890.45 | $4,365.16 | $4,897.79 |
Pacific Source Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
Providence Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $5,011.87 | Facility | None | $2,630.27 | $3,019.95 | $5,011.87 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,995.26 Typical High $4,786.30 | Professional | None | $79.43 | $1,995.26 | $4,786.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,981.07 Median $7,762.47 Typical High $19,054.61 | Facility | None | $3,981.07 | $7,762.47 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,011.87 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,011.87 | $5,495.41 | $5,495.41 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $8,709.64 | Facility | None | $6,456.54 | $6,456.54 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $3,890.45 | Professional | None | $1,819.70 | $1,995.26 | $3,890.45 |
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 $1,202.26 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,202.26 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $478.63 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $354.81 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $239.88 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,479.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $588.84 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $446.68 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $295.12 |
Where Oregon sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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
$3,890
HI $5,129WV $1,995
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.