How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,318 to $2,291Professionalmedian $1,318 · 10th to 90th $912 to $2,239
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 $1,096.48 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,096.48 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $4,265.80 Typical High $5,248.07 | Professional | None | $1,513.56 | $4,265.80 | $5,248.07 |
Moda Health Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $2,041.74 | Facility | None | $1,202.26 | $1,513.56 | $2,041.74 |
Moda Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,202.26 | $1,862.09 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,041.74 | Facility | None | $1,778.28 | $1,995.26 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $2,041.74 | Facility | None | $1,230.27 | $1,318.26 | $2,041.74 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $954.99 Typical High $1,949.84 | Professional | None | $79.43 | $954.99 | $1,949.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,584.89 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,584.89 | $3,162.28 | $7,762.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,041.74 | $2,238.72 | $2,238.72 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,951.21 | $2,951.21 | $3,981.07 |
United Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,778.28 | Professional | None | $831.76 | $912.01 | $1,778.28 |
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 $549.54 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $549.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $218.78 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $162.18 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $109.65 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Where Oregon sits
The same service costs 3.0 times more in Kansas 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· 17th of 51
$1,622
KS $2,818DE $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.