How much rates vary
Facilitymedian $2,692 · 10th to 90th $2,042 to $3,090Professionalmedian $1,778 · 10th to 90th $1,202 to $3,090
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 $1,445.44 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,445.44 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $5,623.41 Typical High $7,079.46 | Professional | None | $2,089.30 | $5,623.41 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $2,754.23 | Facility | None | $1,659.59 | $2,089.30 | $2,754.23 |
Moda Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $2,754.23 | Professional | None | $1,659.59 | $2,511.89 | $2,754.23 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $3,090.30 | Facility | None | $2,187.76 | $2,691.53 | $3,090.30 |
Pacific Source Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,754.23 | $3,090.30 | $3,090.30 |
Providence Setting Facility Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $2,754.23 | Facility | None | $1,659.59 | $1,778.28 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,288.25 Typical High $2,691.53 | Professional | None | $79.43 | $1,288.25 | $2,691.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,187.76 Median $4,365.16 Typical High $10,471.29 | Facility | None | $2,187.76 | $4,365.16 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,818.38 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $5,248.07 | Facility | None | $3,981.07 | $3,981.07 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,202.26 | $2,344.23 |
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 $724.44 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $724.44 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $288.40 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $218.78 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $144.54 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $831.76 | $831.76 | $831.76 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $331.13 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $165.96 |
Where Oregon sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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
$2,188
HI $3,467MD $1,288
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.