How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,820 to $3,715Professionalmedian $1,778 · 10th to 90th $1,148 to $3,311
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 $1,380.38 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $5,248.07 Typical High $6,606.93 | Professional | None | $2,238.72 | $5,248.07 | $6,606.93 |
Moda Health Setting Facility Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $3,019.95 | Facility | None | $1,479.11 | $2,238.72 | $3,019.95 |
Moda Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $3,019.95 | Professional | None | $1,778.28 | $2,754.23 | $3,019.95 |
Pacific Source Setting Facility Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $2,951.21 | Facility | None | $2,238.72 | $2,884.03 | $2,951.21 |
Providence Setting Facility Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $3,019.95 | Facility | None | $1,479.11 | $1,819.70 | $3,019.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,202.26 Typical High $2,884.03 | Professional | None | $79.43 | $1,202.26 | $2,884.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,398.83 Median $4,677.35 Typical High $11,481.54 | Facility | None | $2,398.83 | $4,677.35 | $11,481.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,019.95 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,019.95 | $3,311.31 | $3,311.31 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $5,011.87 | Facility | None | $3,715.35 | $3,715.35 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,148.15 | $2,238.72 |
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 $691.83 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $691.83 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $275.42 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $204.17 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $138.04 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $363.08 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $177.83 |
Where Oregon sits
The same service costs 3.5 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· 12th of 51
$2,239
HI $4,169DE $1,202
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.