How much rates vary
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 $2,041.74 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,041.74 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $7,943.28 Typical High $9,772.37 | Professional | None | $2,951.21 | $7,943.28 | $9,772.37 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,890.45 | Facility | None | $2,290.87 | $2,884.03 | $3,890.45 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $3,890.45 | Professional | None | $2,344.23 | $3,548.13 | $3,890.45 |
Pacific Source Setting Facility Modifier None Typical Low $3,019.95 Median $3,715.35 Typical High $3,801.89 | Facility | None | $3,019.95 | $3,715.35 | $3,801.89 |
Pacific Source Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,168.69 | Professional | None | $3,801.89 | $3,801.89 | $4,168.69 |
Providence Setting Facility Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,890.45 | Facility | None | $2,290.87 | $2,691.53 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,949.84 Typical High $3,715.35 | Professional | None | $79.43 | $1,949.84 | $3,715.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,090.30 Median $6,025.60 Typical High $14,791.08 | Facility | None | $3,090.30 | $6,025.60 | $14,791.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,981.07 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,981.07 | $4,265.80 | $4,265.80 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,413.10 | Facility | None | $5,495.41 | $5,495.41 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $3,311.31 | Professional | None | $1,548.82 | $1,698.24 | $3,311.31 |
4 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 55 · Aftercare only Typical Low $302.00 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $302.00 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $204.17 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $234.42 |
Where Oregon sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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
$3,020
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.