How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,047 to $1,778Professionalmedian $1,000 · 10th to 90th $692 to $1,549
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 $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | None | $758.58 | $758.58 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $3,090.30 Typical High $3,981.07 | Professional | None | $1,047.13 | $3,090.30 | $3,981.07 |
Moda Health Setting Facility Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,412.54 | Facility | None | $831.76 | $1,047.13 | $1,412.54 |
Moda Health Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,412.54 | Professional | None | $831.76 | $1,288.25 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,230.27 | $1,348.96 | $1,380.38 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,412.54 | Facility | None | $831.76 | $1,047.13 | $1,412.54 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $758.58 Typical High $1,348.96 | Professional | None | $79.43 | $758.58 | $1,348.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,096.48 Median $2,187.76 Typical High $5,370.32 | Facility | None | $1,096.48 | $2,187.76 | $5,370.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,412.54 | $1,548.82 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,019.95 | Facility | None | $2,238.72 | $2,238.72 | $3,019.95 |
United Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,348.96 | Professional | None | $630.96 | $691.83 | $1,348.96 |
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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $123.03 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Where Oregon sits
The same service costs 3.1 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· 18th of 51
$1,122
HI $2,344PA $759
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.