How much rates vary
Facilitymedian $4,677 · 10th to 90th $3,631 to $5,129Professionalmedian $3,162 · 10th to 90th $2,042 to $5,495
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 $2,454.71 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,454.71 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,454.71 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,715.35 Median $9,332.54 Typical High $11,748.98 | Professional | None | $3,715.35 | $9,332.54 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,818.38 | $3,630.78 | $4,897.79 |
Moda Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $4,897.79 | Professional | None | $2,951.21 | $4,466.84 | $4,897.79 |
Pacific Source Setting Facility Modifier None Typical Low $3,801.89 Median $4,677.35 Typical High $4,897.79 | Facility | None | $3,801.89 | $4,677.35 | $4,897.79 |
Providence Setting Facility Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,818.38 | $3,388.44 | $4,897.79 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,454.71 Typical High $4,677.35 | Professional | None | $79.43 | $2,454.71 | $4,677.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $7,762.47 Typical High $18,620.87 | Facility | None | $3,890.45 | $7,762.47 | $18,620.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,011.87 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,011.87 | $5,495.41 | $5,495.41 |
United Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $8,912.51 | Facility | None | $6,606.93 | $6,606.93 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $3,981.07 | Professional | None | $1,862.09 | $2,041.74 | $3,981.07 |
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 $1,230.27 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,230.27 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $489.78 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $363.08 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $245.47 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,479.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $588.84 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $446.68 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $295.12 | $295.12 | $295.12 |
Where Oregon sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 13th of 51
$3,802
MT $4,898SC $2,344
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.