How much rates vary
Facilitymedian $4,786 · 10th to 90th $2,951 to $6,310Professionalmedian $2,951 · 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 $2,691.53 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,691.53 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,715.35 Median $10,232.93 Typical High $12,882.50 | Professional | None | $3,715.35 | $10,232.93 | $12,882.50 |
Moda Health Setting Facility Modifier None Typical Low $2,754.23 Median $3,715.35 Typical High $5,011.87 | Facility | None | $2,754.23 | $3,715.35 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $5,011.87 | Professional | None | $2,951.21 | $4,466.84 | $5,011.87 |
Pacific Source Setting Facility Modifier None Typical Low $4,365.16 Median $4,897.79 Typical High $5,888.44 | Facility | None | $4,365.16 | $4,897.79 | $5,888.44 |
Providence Setting Facility Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,754.23 | $2,951.21 | $5,011.87 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,041.74 Typical High $4,786.30 | Professional | None | $79.43 | $2,041.74 | $4,786.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $7,762.47 Typical High $19,054.61 | Facility | None | $3,890.45 | $7,762.47 | $19,054.61 |
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 $7,244.36 Median $7,244.36 Typical High $9,772.37 | Facility | None | $7,244.36 | $7,244.36 | $9,772.37 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $4,365.16 | Professional | None | $2,041.74 | $2,238.72 | $4,365.16 |
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 $1,348.96 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,348.96 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $537.03 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $398.11 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $269.15 | $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 2.8 times more in Wyoming 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· 14th of 51
$3,981
WY $5,754DE $2,042
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.