How much rates vary
Facilitymedian $4,786 · 10th to 90th $3,981 to $5,495Professionalmedian $3,236 · 10th to 90th $1,995 to $5,888
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 $2,454.71 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,454.71 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,073.80 Median $9,120.11 Typical High $11,481.54 | Professional | None | $4,073.80 | $9,120.11 | $11,481.54 |
Moda Health Setting Facility Modifier None Typical Low $3,235.94 Median $3,981.07 Typical High $5,370.32 | Facility | None | $3,235.94 | $3,981.07 | $5,370.32 |
Moda Health Setting Professional Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $5,370.32 | Professional | None | $3,235.94 | $4,897.79 | $5,370.32 |
Pacific Source Setting Facility Modifier None Typical Low $4,168.69 Median $4,786.30 Typical High $5,248.07 | Facility | None | $4,168.69 | $4,786.30 | $5,248.07 |
Pacific Source Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Providence Setting Facility Modifier None Typical Low $3,019.95 Median $3,235.94 Typical High $5,370.32 | Facility | None | $3,019.95 | $3,235.94 | $5,370.32 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,187.76 Typical High $5,128.61 | Professional | None | $79.43 | $2,187.76 | $5,128.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,265.80 Median $8,317.64 Typical High $20,417.38 | Facility | None | $4,265.80 | $8,317.64 | $20,417.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,495.41 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,495.41 | $5,888.44 | $5,888.44 |
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 $1,230.27 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,230.27 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $489.78 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $363.08 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $245.47 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $1,621.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $645.65 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $478.63 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $323.59 |
Where Oregon sits
The same service costs 2.4 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· 14th of 51
$4,169
HI $5,248WV $2,188
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.