How much rates vary
Facilitymedian $3,981 · 10th to 90th $3,236 to $4,898Professionalmedian $2,692 · 10th to 90th $1,660 to $4,898
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 $1,995.26 Median $2,691.53 Typical High $2,691.53 | Professional | None | $1,995.26 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $7,762.47 Typical High $9,549.93 | Professional | None | $3,388.44 | $7,762.47 | $9,549.93 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $4,466.84 | Facility | None | $2,290.87 | $3,311.31 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $4,466.84 | Professional | None | $2,691.53 | $4,073.80 | $4,466.84 |
Pacific Source Setting Facility Modifier None Typical Low $3,467.37 Median $4,265.80 Typical High $4,365.16 | Facility | None | $3,467.37 | $4,265.80 | $4,365.16 |
Providence Setting Facility Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $4,466.84 | Facility | None | $2,290.87 | $2,691.53 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,819.70 Typical High $4,265.80 | Professional | None | $79.43 | $1,819.70 | $4,265.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,548.13 Median $7,079.46 Typical High $16,982.44 | Facility | None | $3,548.13 | $7,079.46 | $16,982.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,570.88 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,570.88 | $4,897.79 | $4,897.79 |
United Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $7,244.36 | Facility | None | $5,370.32 | $5,370.32 | $7,244.36 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $3,235.94 | Professional | None | $1,513.56 | $1,659.59 | $3,235.94 |
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 $1,000.00 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,000.00 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $398.11 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $295.12 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $199.53 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,348.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $269.15 |
Where Oregon sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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· 13th of 51
$3,467
HI $5,623DC $1,778
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.