How much rates vary
Facilitymedian $3,715 · 10th to 90th $3,020 to $4,571Professionalmedian $2,512 · 10th to 90th $1,549 to $4,677
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 $1,862.09 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,862.09 | $2,511.89 | $2,511.89 |
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 $3,162.28 Median $7,244.36 Typical High $9,120.11 | Professional | None | $3,162.28 | $7,244.36 | $9,120.11 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $4,265.80 | Facility | None | $2,290.87 | $3,162.28 | $4,265.80 |
Moda Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,801.89 Typical High $4,265.80 | Professional | None | $2,511.89 | $3,801.89 | $4,265.80 |
Pacific Source Setting Facility Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $4,168.69 | Facility | None | $3,311.31 | $4,073.80 | $4,168.69 |
Pacific Source Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,365.16 | Professional | None | $3,388.44 | $3,388.44 | $4,365.16 |
Providence Setting Facility Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $4,265.80 | Facility | None | $2,290.87 | $2,511.89 | $4,265.80 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,819.70 Typical High $4,073.80 | Professional | None | $79.43 | $1,819.70 | $4,073.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $6,606.93 Typical High $16,218.10 | Facility | None | $3,311.31 | $6,606.93 | $16,218.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,265.80 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,265.80 | $4,677.35 | $4,677.35 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $6,760.83 | Facility | None | $5,128.61 | $5,128.61 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,445.44 | $1,548.82 | $3,019.95 |
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 $933.25 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $933.25 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $371.54 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $281.84 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $186.21 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $380.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $251.19 | $251.19 | $251.19 |
Where Oregon sits
The same service costs 3.4 times more in Hawaii 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· 11th of 51
$3,311
HI $5,623DC $1,660
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.