How much rates vary
Facilitymedian $2,455 · 10th to 90th $2,042 to $3,090Professionalmedian $1,778 · 10th to 90th $1,148 to $3,162
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 $1,380.38 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,445.44 | $1,445.44 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $5,370.32 Typical High $6,760.83 | Professional | None | $2,137.96 | $5,370.32 | $6,760.83 |
Moda Health Setting Facility Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,884.03 | Facility | None | $1,698.24 | $2,137.96 | $2,884.03 |
Moda Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $2,884.03 | Professional | None | $1,698.24 | $2,630.27 | $2,884.03 |
Pacific Source Setting Facility Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $2,818.38 | Facility | None | $2,238.72 | $2,511.89 | $2,818.38 |
Pacific Source Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Providence Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,698.24 | $1,949.84 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,445.44 Typical High $2,754.23 | Professional | None | $79.43 | $1,445.44 | $2,754.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,238.72 Median $4,466.84 Typical High $10,964.78 | Facility | None | $2,238.72 | $4,466.84 | $10,964.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,884.03 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,884.03 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $5,011.87 | Facility | None | $3,801.89 | $3,801.89 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,148.15 | $2,238.72 |
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 $691.83 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $691.83 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $275.42 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $208.93 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $138.04 | $169.82 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $169.82 |
Where Oregon sits
The same service costs 2.4 times more in Minnesota than in Washington, DC. 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
$2,239
MN $2,951DC $1,230
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.