How much rates vary
Facilitymedian $1,259 · 10th to 90th $912 to $1,413Professionalmedian $912 · 10th to 90th $646 to $1,445
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 $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $2,884.03 Typical High $3,715.35 | Professional | None | $977.24 | $2,884.03 | $3,715.35 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $1,318.26 | Facility | None | $776.25 | $977.24 | $1,318.26 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,318.26 | Professional | None | $776.25 | $1,202.26 | $1,318.26 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,288.25 | Facility | None | $1,023.29 | $1,258.93 | $1,288.25 |
Pacific Source Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,148.15 | $1,148.15 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $1,318.26 | Facility | None | $794.33 | $912.01 | $1,318.26 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $660.69 Typical High $1,258.93 | Professional | None | $79.43 | $660.69 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $5,011.87 | Facility | None | $1,047.13 | $2,041.74 | $5,011.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,445.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,818.38 | Facility | None | $2,089.30 | $2,089.30 | $2,818.38 |
United Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,258.93 | Professional | None | $602.56 | $645.65 | $1,258.93 |
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 $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $154.88 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $114.82 | $117.49 | $117.49 |
Aetna 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 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
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 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· 17th of 51
$1,023
HI $1,514DE $661
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.