How much rates vary
Facilitymedian $776 · 10th to 90th $589 to $1,047Professionalmedian $589 · 10th to 90th $398 to $891
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 $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $1,778.28 Typical High $2,290.87 | Professional | None | $602.56 | $1,778.28 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $812.83 | Facility | None | $478.63 | $602.56 | $812.83 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $812.83 | Professional | None | $478.63 | $741.31 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $1,023.29 | Facility | None | $630.96 | $776.25 | $1,023.29 |
Pacific Source Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $812.83 | Facility | None | $478.63 | $588.84 | $812.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $426.58 Typical High $776.25 | Professional | None | $79.43 | $426.58 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $3,090.30 | Facility | None | $630.96 | $1,258.93 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $891.25 | Professional | None | $812.83 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Facility | None | $1,288.25 | $1,288.25 | $1,737.80 |
United Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $776.25 | Professional | None | $363.08 | $398.11 | $776.25 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $70.79 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Where Oregon sits
The same service costs 2.5 times more in Montana than in Alabama. 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· 12th of 51
$631
MT $1,072AL $427
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.