How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,884 to $4,266Professionalmedian $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 $1,905.46 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,905.46 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $7,413.10 Typical High $9,332.54 | Professional | None | $2,951.21 | $7,413.10 | $9,332.54 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,290.87 | $2,951.21 | $3,981.07 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $3,981.07 | Professional | None | $2,344.23 | $3,630.78 | $3,981.07 |
Pacific Source Setting Facility Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $3,890.45 | Facility | None | $3,090.30 | $3,467.37 | $3,890.45 |
Pacific Source Setting Professional Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $4,265.80 | Professional | None | $3,090.30 | $3,890.45 | $4,265.80 |
Providence Setting Facility Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $3,981.07 | Facility | None | $2,290.87 | $2,454.71 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,819.70 Typical High $3,801.89 | Professional | None | $79.43 | $1,819.70 | $3,801.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $6,165.95 Typical High $15,135.61 | Facility | None | $3,162.28 | $6,165.95 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,981.07 | $4,365.16 | $4,365.16 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $6,918.31 | Facility | None | $5,128.61 | $5,128.61 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,584.89 Typical High $3,090.30 | Professional | None | $1,479.11 | $1,584.89 | $3,090.30 |
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 $954.99 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $954.99 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $380.19 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $288.40 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $190.55 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,174.90 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $234.42 |
Where Oregon sits
The same service costs 2.4 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· 13th of 51
$3,090
HI $4,365DE $1,820
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.