How much rates vary
Facilitymedian $646 · 10th to 90th $501 to $776Professionalmedian $447 · 10th to 90th $288 to $741
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 $354.81 Median $398.11 Typical High $398.11 | Professional | None | $354.81 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | None | $371.54 | $371.54 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $1,348.96 Typical High $1,698.24 | Professional | None | $501.19 | $1,348.96 | $1,698.24 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $676.08 | Facility | None | $398.11 | $501.19 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $676.08 | Professional | None | $398.11 | $616.60 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $758.58 | Facility | None | $524.81 | $645.65 | $758.58 |
Pacific Source Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Providence Setting Facility Modifier None Typical Low $407.38 Median $501.19 Typical High $676.08 | Facility | None | $407.38 | $501.19 | $676.08 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $645.65 | Professional | None | $79.43 | $371.54 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $537.03 Median $1,047.13 Typical High $2,570.40 | Facility | None | $537.03 | $1,047.13 | $2,570.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $741.31 | Professional | None | $676.08 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,258.93 | Facility | None | $954.99 | $954.99 | $1,258.93 |
United Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $575.44 | Professional | None | $269.15 | $288.40 | $575.44 |
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 $173.78 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $52.48 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $35.48 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Where Oregon sits
The same service costs 3.0 times more in Hawaii than in Washington, DC. 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
$525
HI $933DC $316
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.