How much rates vary
Facilitymedian $891 · 10th to 90th $692 to $977Professionalmedian $575 · 10th to 90th $331 to $1,047
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 $426.58 Median $575.44 Typical High $575.44 | Professional | None | $426.58 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,621.81 Typical High $2,041.74 | Professional | None | $724.44 | $1,621.81 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $707.95 Typical High $954.99 | Facility | None | $467.74 | $707.95 | $954.99 |
Moda Health Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $954.99 | Professional | None | $575.44 | $870.96 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $741.31 Median $891.25 Typical High $933.25 | Facility | None | $741.31 | $891.25 | $933.25 |
Pacific Source Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $575.44 Typical High $954.99 | Facility | None | $446.68 | $575.44 | $954.99 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $331.13 Typical High $912.01 | Professional | None | $79.43 | $331.13 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $3,630.78 | Facility | None | $758.58 | $1,479.11 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | None | $977.24 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,548.82 | Facility | None | $1,148.15 | $1,148.15 | $1,548.82 |
United Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $691.83 | Professional | None | $323.59 | $354.81 | $691.83 |
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 $213.80 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $85.11 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $63.10 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $42.66 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Where Oregon sits
The same service costs 2.8 times more in Iowa 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· 10th of 51
$741
IA $933DE $331
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.