How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,380 to $2,455Professionalmedian $1,349 · 10th to 90th $912 to $2,042
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 $1,096.48 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,096.48 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $4,168.69 Typical High $5,370.32 | Professional | None | $1,412.54 | $4,168.69 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,380.38 | $1,862.09 |
Moda Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,122.02 | $1,698.24 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,659.59 | $1,819.70 | $2,398.83 |
Providence Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,862.09 | Facility | None | $1,122.02 | $1,412.54 | $1,862.09 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,023.29 Typical High $1,778.28 | Professional | None | $79.43 | $1,023.29 | $1,778.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,479.11 Median $2,951.21 Typical High $7,079.46 | Facility | None | $1,479.11 | $2,951.21 | $7,079.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,905.46 | $2,041.74 | $2,041.74 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,981.07 | Facility | None | $3,019.95 | $3,019.95 | $3,981.07 |
United Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,778.28 | Professional | None | $851.14 | $912.01 | $1,778.28 |
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 $549.54 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $549.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $218.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $165.96 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
Where Oregon sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 14th of 51
$1,514
HI $3,548DC $977
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.