How much rates vary
Facilitymedian $851 · 10th to 90th $646 to $1,122Professionalmedian $617 · 10th to 90th $437 to $977
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 $524.81 Median $537.03 Typical High $537.03 | Professional | None | $524.81 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $1,995.26 Typical High $2,570.40 | Professional | None | $676.08 | $1,995.26 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $537.03 Median $660.69 Typical High $891.25 | Facility | None | $537.03 | $660.69 | $891.25 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $891.25 | Professional | None | $537.03 | $812.83 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,096.48 | Facility | None | $691.83 | $851.14 | $1,096.48 |
Pacific Source Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $954.99 | Professional | None | $691.83 | $870.96 | $954.99 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $891.25 | Facility | None | $537.03 | $616.60 | $891.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $446.68 Typical High $851.14 | Professional | None | $79.43 | $446.68 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,380.38 Typical High $3,388.44 | Facility | None | $707.95 | $1,380.38 | $3,388.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $977.24 | Professional | None | $912.01 | $977.24 | $977.24 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,905.46 | Facility | None | $1,412.54 | $1,412.54 | $1,905.46 |
United Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $851.14 | Professional | None | $407.38 | $436.52 | $851.14 |
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 $263.03 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $263.03 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $52.48 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Where Oregon sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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
$692
HI $1,660TN $447
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.