How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,549 to $2,239Professionalmedian $1,380 · 10th to 90th $912 to $2,188
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 $1,096.48 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,096.48 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,148.15 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $4,168.69 Typical High $5,370.32 | Professional | None | $1,479.11 | $4,168.69 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,479.11 | $1,995.26 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,778.28 | $1,995.26 |
Pacific Source Setting Facility Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,041.74 | Facility | None | $1,548.82 | $1,905.46 | $2,041.74 |
Pacific Source Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,041.74 | Professional | None | $1,949.84 | $1,949.84 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $1,995.26 | Facility | None | $1,174.90 | $1,584.89 | $1,995.26 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,148.15 Typical High $1,905.46 | Professional | None | $79.43 | $1,148.15 | $1,905.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,548.82 Median $3,090.30 Typical High $7,585.78 | Facility | None | $1,548.82 | $3,090.30 | $7,585.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,995.26 | $2,187.76 | $2,187.76 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,951.21 | $2,951.21 | $3,981.07 |
United Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,778.28 | Professional | None | $851.14 | $912.01 | $1,778.28 |
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 $549.54 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $549.54 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $218.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $109.65 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Where Oregon sits
The same service costs 2.8 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· 18th of 51
$1,585
HI $2,692DC $977
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.