How much rates vary
Facilitymedian $1,230 · 10th to 90th $871 to $1,413Professionalmedian $832 · 10th to 90th $537 to $1,413
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 $645.65 Median $776.25 Typical High $776.25 | Professional | None | $645.65 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None | $645.65 | $645.65 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $2,511.89 Typical High $3,162.28 | Professional | None | $977.24 | $2,511.89 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $954.99 Typical High $1,288.25 | Facility | None | $776.25 | $954.99 | $1,288.25 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,288.25 | Professional | None | $776.25 | $1,174.90 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,230.27 | $1,258.93 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $1,288.25 | Facility | None | $776.25 | $870.96 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $1,230.27 | Professional | None | $79.43 | $645.65 | $1,230.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $2,041.74 Typical High $4,897.79 | Facility | None | $1,023.29 | $2,041.74 | $4,897.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,778.28 | $1,778.28 | $2,344.23 |
United Setting Professional Modifier None Typical Low $501.19 Median $537.03 Typical High $1,047.13 | Professional | None | $501.19 | $537.03 | $1,047.13 |
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 $323.59 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $323.59 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $128.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $97.72 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $64.57 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Where Oregon sits
The same service costs 2.3 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· 12th of 51
$1,023
HI $1,413PA $617
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.