How much rates vary
Facilitymedian $575 · 10th to 90th $447 to $692Professionalmedian $407 · 10th to 90th $257 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 $309.03 Median $407.38 Typical High $407.38 | Professional | None | $309.03 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None | $263.03 | $263.03 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $1,202.26 Typical High $1,513.56 | Professional | None | $512.86 | $1,202.26 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $676.08 | Facility | None | $331.13 | $501.19 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $676.08 | Professional | None | $407.38 | $616.60 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $602.56 Typical High $660.69 | Facility | None | $501.19 | $602.56 | $660.69 |
Pacific Source Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $660.69 | Professional | None | $512.86 | $512.86 | $660.69 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $407.38 Typical High $676.08 | Facility | None | $331.13 | $407.38 | $676.08 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $263.03 Typical High $645.65 | Professional | None | $79.43 | $263.03 | $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 $691.83 Median $741.31 Typical High $741.31 | Professional | None | $691.83 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Facility | None | $851.14 | $851.14 | $1,122.02 |
United Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $501.19 | Professional | None | $239.88 | $257.04 | $501.19 |
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 $154.88 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $154.88 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $61.66 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $46.77 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $30.90 | $40.74 | $40.74 |
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 $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Where Oregon sits
The same service costs 3.7 times more in Hawaii 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· 10th of 51
$513
HI $977DE $263
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.