How much rates vary
Facilitymedian $891 · 10th to 90th $676 to $1,023Professionalmedian $575 · 10th to 90th $380 to $1,023
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 $457.09 Median $562.34 Typical High $562.34 | Professional | None | $457.09 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $645.65 | Professional | None | $489.78 | $489.78 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,778.28 Typical High $2,238.72 | Professional | None | $707.95 | $1,778.28 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $933.25 | Facility | None | $562.34 | $691.83 | $933.25 |
Moda Health Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $933.25 | Professional | None | $562.34 | $851.14 | $933.25 |
Pacific Source Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,000.00 | Facility | None | $724.44 | $891.25 | $1,000.00 |
Pacific Source Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Providence Setting Facility Modifier None Typical Low $562.34 Median $660.69 Typical High $933.25 | Facility | None | $562.34 | $660.69 | $933.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $489.78 Typical High $891.25 | Professional | None | $79.43 | $489.78 | $891.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $741.31 Median $1,445.44 Typical High $3,548.13 | Facility | None | $741.31 | $1,445.44 | $3,548.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,023.29 | Professional | None | $954.99 | $1,023.29 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,659.59 | Facility | None | $1,230.27 | $1,230.27 | $1,659.59 |
United Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $741.31 | Professional | None | $354.81 | $380.19 | $741.31 |
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 $229.09 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $229.09 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $91.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $69.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $45.71 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $83.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Where Oregon sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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· 13th of 51
$724
HI $1,380KS $339
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.