How much rates vary
Facilitymedian $2,951 · 10th to 90th $2,291 to $3,981Professionalmedian $2,188 · 10th to 90th $1,445 to $3,388
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 $1,737.80 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,737.80 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $6,456.54 Typical High $8,317.64 | Professional | None | $2,344.23 | $6,456.54 | $8,317.64 |
Moda Health Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $3,090.30 | Facility | None | $1,862.09 | $2,290.87 | $3,090.30 |
Moda Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $3,090.30 | Professional | None | $1,862.09 | $2,818.38 | $3,090.30 |
Pacific Source Setting Facility Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $3,715.35 | Facility | None | $2,398.83 | $2,951.21 | $3,715.35 |
Pacific Source Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,019.95 | Professional | None | $2,398.83 | $2,398.83 | $3,019.95 |
Providence Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $3,090.30 | Facility | None | $1,862.09 | $2,290.87 | $3,090.30 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,659.59 Typical High $2,951.21 | Professional | None | $79.43 | $1,659.59 | $2,951.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $4,786.30 Typical High $11,748.98 | Facility | None | $2,454.71 | $4,786.30 | $11,748.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,162.28 | $3,388.44 | $3,388.44 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $6,309.57 | Facility | None | $4,677.35 | $4,677.35 | $6,309.57 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,445.44 | $2,818.38 |
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 $870.96 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $870.96 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $346.74 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $257.04 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $173.78 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $912.01 | $912.01 | $912.01 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Where Oregon sits
The same service costs 2.8 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
$2,399
HI $4,365PA $1,549
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.