How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,698 to $2,570Professionalmedian $1,514 · 10th to 90th $933 to $2,818
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 $1,230.27 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Professional | None | $933.25 | $933.25 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $4,677.35 Typical High $5,888.44 | Professional | None | $1,905.46 | $4,677.35 | $5,888.44 |
Moda Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $2,511.89 | Facility | None | $1,412.54 | $1,862.09 | $2,511.89 |
Moda Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,290.87 Typical High $2,511.89 | Professional | None | $1,513.56 | $2,290.87 | $2,511.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $2,511.89 | Facility | None | $1,995.26 | $2,238.72 | $2,511.89 |
Pacific Source Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Providence Setting Facility Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $2,511.89 | Facility | None | $1,258.93 | $1,513.56 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $933.25 Typical High $2,454.71 | Professional | None | $79.43 | $933.25 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,995.26 Median $3,981.07 Typical High $9,549.93 | Facility | None | $1,995.26 | $3,981.07 | $9,549.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,570.40 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $4,466.84 | Facility | None | $3,311.31 | $3,311.31 | $4,466.84 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,995.26 | Professional | None | $933.25 | $1,023.29 | $1,995.26 |
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 $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $616.60 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $123.03 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Where Oregon sits
The same service costs 3.8 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· 13th of 51
$1,995
HI $3,548DE $933
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.