How much rates vary
Facilitymedian $3,802 · 10th to 90th $2,884 to $4,169Professionalmedian $2,399 · 10th to 90th $1,585 to $4,365
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 $2,089.30 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,089.30 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,584.89 | $1,584.89 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $7,943.28 Typical High $10,000.00 | Professional | None | $3,019.95 | $7,943.28 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,398.83 | $2,951.21 | $3,981.07 |
Moda Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,630.78 Typical High $3,981.07 | Professional | None | $2,398.83 | $3,630.78 | $3,981.07 |
Pacific Source Setting Facility Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $3,890.45 | Facility | None | $3,090.30 | $3,801.89 | $3,890.45 |
Pacific Source Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Providence Setting Facility Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $3,981.07 | Facility | None | $2,137.96 | $2,398.83 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,584.89 Typical High $3,801.89 | Professional | None | $79.43 | $1,584.89 | $3,801.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $6,309.57 Typical High $15,135.61 | Facility | None | $3,162.28 | $6,309.57 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,073.80 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,073.80 | $4,365.16 | $4,365.16 |
United Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $7,585.78 | Facility | None | $5,623.41 | $5,623.41 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $3,388.44 | Professional | None | $1,584.89 | $1,737.80 | $3,388.44 |
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 $1,047.13 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,047.13 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $416.87 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $309.03 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $208.93 | $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 $354.81 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $354.81 | $354.81 | $354.81 |
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 2.6 times more in Wisconsin 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
$3,090
WI $4,074DE $1,585
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.