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 $691.83 Median $776.25 Typical High $776.25 | Professional | None | $691.83 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $2,691.53 Typical High $3,388.44 | Professional | None | $977.24 | $2,691.53 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,288.25 | Facility | None | $776.25 | $1,096.48 | $1,288.25 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,288.25 | Professional | None | $776.25 | $1,174.90 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $1,318.26 | Facility | None | $1,148.15 | $1,258.93 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $776.25 Typical High $1,288.25 | Facility | None | $724.44 | $776.25 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $524.81 Typical High $1,230.27 | Professional | None | $79.43 | $524.81 | $1,230.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $4,897.79 | Facility | None | $1,023.29 | $1,995.26 | $4,897.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,511.89 | Facility | None | $1,905.46 | $1,905.46 | $2,511.89 |
United Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $1,122.02 | Professional | None | $537.03 | $575.44 | $1,122.02 |
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 $104.71 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $104.71 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $69.18 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Where Oregon sits
The same service costs 2.4 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· 15th of 51
$1,047
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.