How much rates vary
Facilitymedian $4,266 · 10th to 90th $3,311 to $4,786Professionalmedian $2,692 · 10th to 90th $1,820 to $4,898
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 $2,398.83 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,398.83 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,311.31 Median $9,332.54 Typical High $11,748.98 | Professional | None | $3,311.31 | $9,332.54 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $2,691.53 Median $3,311.31 Typical High $4,466.84 | Facility | None | $2,691.53 | $3,311.31 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $4,466.84 | Professional | None | $2,691.53 | $4,073.80 | $4,466.84 |
Pacific Source Setting Facility Modifier None Typical Low $3,467.37 Median $4,265.80 Typical High $4,570.88 | Facility | None | $3,467.37 | $4,265.80 | $4,570.88 |
Pacific Source Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,466.84 | Professional | None | $4,365.16 | $4,365.16 | $4,466.84 |
Providence Setting Facility Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $4,466.84 | Facility | None | $2,511.89 | $2,691.53 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,819.70 Typical High $4,265.80 | Professional | None | $79.43 | $1,819.70 | $4,265.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,548.13 Median $6,918.31 Typical High $16,982.44 | Facility | None | $3,548.13 | $6,918.31 | $16,982.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,466.84 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,466.84 | $4,897.79 | $4,897.79 |
United Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $8,709.64 | Facility | None | $6,606.93 | $6,606.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $3,890.45 | Professional | None | $1,862.09 | $1,995.26 | $3,890.45 |
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 $1,202.26 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,202.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $478.63 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $363.08 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $239.88 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $1,318.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $269.15 |
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· 16th of 51
$3,467
HI $4,786DE $1,820
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.