How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,950 to $2,692Professionalmedian $1,622 · 10th to 90th $1,072 to $2,951
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 $1,318.26 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,318.26 | $1,621.81 | $1,621.81 |
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 $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,174.90 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $5,011.87 Typical High $6,309.57 | Professional | None | $2,041.74 | $5,011.87 | $6,309.57 |
Moda Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,995.26 Typical High $2,691.53 | Facility | None | $1,479.11 | $1,995.26 | $2,691.53 |
Moda Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $2,691.53 | Professional | None | $1,621.81 | $2,454.71 | $2,691.53 |
Pacific Source Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $2,630.27 | Facility | None | $2,089.30 | $2,570.40 | $2,630.27 |
Pacific Source Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,089.30 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,479.11 | $1,621.81 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,174.90 Typical High $2,570.40 | Professional | None | $79.43 | $1,174.90 | $2,570.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,137.96 Median $4,265.80 Typical High $10,232.93 | Facility | None | $2,137.96 | $4,265.80 | $10,232.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,754.23 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,677.35 | Facility | None | $3,548.13 | $3,548.13 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $2,137.96 | Professional | None | $1,000.00 | $1,071.52 | $2,137.96 |
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 $645.65 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $645.65 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $263.03 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $131.83 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Where Oregon sits
The same service costs 2.7 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
$2,089
HI $3,162DE $1,175
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.