How much rates vary
Facilitymedian $646 · 10th to 90th $550 to $813Professionalmedian $457 · 10th to 90th $282 to $832
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 $371.54 Median $457.09 Typical High $457.09 | Professional | None | $371.54 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $1,445.44 Typical High $1,819.70 | Professional | None | $575.44 | $1,445.44 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $758.58 | Facility | None | $371.54 | $562.34 | $758.58 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $758.58 | Professional | None | $457.09 | $691.83 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $741.31 | Facility | None | $588.84 | $676.08 | $741.31 |
Pacific Source Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $457.09 Typical High $758.58 | Facility | None | $389.05 | $457.09 | $758.58 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $281.84 Typical High $724.44 | Professional | None | $79.43 | $281.84 | $724.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $2,884.03 | Facility | None | $602.56 | $1,174.90 | $2,884.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $831.76 | Professional | None | $776.25 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Facility | None | $1,023.29 | $1,023.29 | $1,348.96 |
United Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $602.56 | Professional | None | $288.40 | $309.03 | $602.56 |
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 $186.21 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $186.21 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $74.13 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $56.23 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $37.15 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Where Oregon sits
The same service costs 2.6 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· 15th of 51
$589
HI $724DE $282
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.