How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,778 to $2,630Professionalmedian $1,479 · 10th to 90th $955 to $2,692
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 $1,479.11 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $4,786.30 Typical High $6,025.60 | Professional | None | $1,862.09 | $4,786.30 | $6,025.60 |
Moda Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $2,454.71 | Facility | None | $1,479.11 | $1,819.70 | $2,454.71 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $2,454.71 | Professional | None | $1,479.11 | $2,238.72 | $2,454.71 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $2,398.83 | Facility | None | $1,905.46 | $2,290.87 | $2,398.83 |
Pacific Source Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,630.27 | Professional | None | $2,398.83 | $2,398.83 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $2,454.71 | Facility | None | $1,288.25 | $1,479.11 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $954.99 Typical High $2,344.23 | Professional | None | $79.43 | $954.99 | $2,344.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,949.84 Median $3,801.89 Typical High $9,332.54 | Facility | None | $1,949.84 | $3,801.89 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,511.89 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,466.84 | Facility | None | $3,388.44 | $3,388.44 | $4,466.84 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $2,041.74 | Professional | None | $954.99 | $1,023.29 | $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 $616.60 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $616.60 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $251.19 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $186.21 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $125.89 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Where Oregon sits
The same service costs 3.4 times more in Hawaii than in Delaware. 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
$1,905
HI $3,236DE $955
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.