How much rates vary
Facilitymedian $3,715 · 10th to 90th $2,951 to $4,365Professionalmedian $2,570 · 10th to 90th $1,622 to $4,786
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 $1,949.84 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,949.84 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $7,585.78 Typical High $9,549.93 | Professional | None | $3,235.94 | $7,585.78 | $9,549.93 |
Moda Health Setting Facility Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $4,365.16 | Facility | None | $2,398.83 | $3,235.94 | $4,365.16 |
Moda Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $4,365.16 | Professional | None | $2,570.40 | $3,981.07 | $4,365.16 |
Pacific Source Setting Facility Modifier None Typical Low $3,388.44 Median $3,801.89 Typical High $4,265.80 | Facility | None | $3,388.44 | $3,801.89 | $4,265.80 |
Pacific Source Setting Professional Modifier None Typical Low $3,388.44 Median $4,265.80 Typical High $4,677.35 | Professional | None | $3,388.44 | $4,265.80 | $4,677.35 |
Providence Setting Facility Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $4,365.16 | Facility | None | $2,398.83 | $2,691.53 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,949.84 Typical High $4,168.69 | Professional | None | $79.43 | $1,949.84 | $4,168.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $16,595.87 | Facility | None | $3,388.44 | $6,760.83 | $16,595.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,365.16 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,365.16 | $4,786.30 | $4,786.30 |
United Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $7,079.46 | Facility | None | $5,370.32 | $5,370.32 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $3,162.28 | Professional | None | $1,513.56 | $1,621.81 | $3,162.28 |
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 $977.24 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $977.24 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $389.05 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $295.12 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $194.98 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Where Oregon sits
The same service costs 2.9 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· 12th of 51
$3,388
HI $5,012DC $1,738
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.