How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,951 to $4,467Professionalmedian $2,399 · 10th to 90th $1,660 to $4,467
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 $2,187.76 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,187.76 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $8,511.38 Typical High $10,715.19 | Professional | None | $3,019.95 | $8,511.38 | $10,715.19 |
Moda Health Setting Facility Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $4,073.80 | Facility | None | $2,398.83 | $3,019.95 | $4,073.80 |
Moda Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $4,073.80 | Professional | None | $2,398.83 | $3,715.35 | $4,073.80 |
Pacific Source Setting Facility Modifier None Typical Low $3,162.28 Median $3,890.45 Typical High $4,073.80 | Facility | None | $3,162.28 | $3,890.45 | $4,073.80 |
Pacific Source Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,073.80 | Professional | None | $3,981.07 | $3,981.07 | $4,073.80 |
Providence Setting Facility Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $4,073.80 | Facility | None | $2,290.87 | $2,454.71 | $4,073.80 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,659.59 Typical High $3,890.45 | Professional | None | $79.43 | $1,659.59 | $3,890.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $6,309.57 Typical High $15,488.17 | Facility | None | $3,162.28 | $6,309.57 | $15,488.17 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,073.80 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,073.80 | $4,466.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,943.28 | Facility | None | $6,025.60 | $6,025.60 | $7,943.28 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $3,548.13 | Professional | None | $1,698.24 | $1,819.70 | $3,548.13 |
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 $1,096.48 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,096.48 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $436.52 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $331.13 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $218.78 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,202.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $478.63 | $478.63 | $478.63 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $239.88 |
Where Oregon sits
The same service costs 2.5 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· 16th of 51
$3,162
HI $4,365DE $1,738
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.