How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,622 to $2,570Professionalmedian $1,549 · 10th to 90th $1,047 to $2,344
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,174.90 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $4,677.35 Typical High $6,025.60 | Professional | None | $1,584.89 | $4,677.35 | $6,025.60 |
Moda Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,137.96 | Facility | None | $1,258.93 | $1,584.89 | $2,137.96 |
Moda Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,949.84 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,344.23 | Facility | None | $1,659.59 | $2,041.74 | $2,344.23 |
Pacific Source Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,621.81 | $2,137.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,174.90 Typical High $2,041.74 | Professional | None | $79.43 | $1,174.90 | $2,041.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,698.24 Median $3,311.31 Typical High $8,128.31 | Facility | None | $1,698.24 | $3,311.31 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,137.96 | $2,344.23 | $2,344.23 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,570.88 | Facility | None | $3,388.44 | $3,388.44 | $4,570.88 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $2,041.74 | Professional | None | $954.99 | $1,047.13 | $2,041.74 |
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 $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $186.21 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Where Oregon sits
The same service costs 2.7 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· 17th of 51
$1,660
HI $3,020PA $1,122
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.