How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,122 to $1,698Professionalmedian $1,047 · 10th to 90th $692 to $1,862
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 $831.76 Median $1,000.00 Typical High $1,000.00 | Professional | None | $831.76 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $3,981.07 | Professional | None | $1,258.93 | $3,235.94 | $3,981.07 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,230.27 | $1,659.59 |
Moda Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,513.56 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,288.25 | $1,548.82 | $1,659.59 |
Pacific Source Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,288.25 | $1,412.54 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,659.59 | Facility | None | $1,000.00 | $1,096.48 | $1,659.59 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $812.83 Typical High $1,584.89 | Professional | None | $79.43 | $812.83 | $1,584.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $6,309.57 | Facility | None | $1,318.26 | $2,630.27 | $6,309.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,698.24 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,019.95 | Facility | None | $2,238.72 | $2,238.72 | $3,019.95 |
United Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $1,348.96 | Professional | None | $630.96 | $691.83 | $1,348.96 |
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 $416.87 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $416.87 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $165.96 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $123.03 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $83.18 | $100.00 | $100.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Where Oregon sits
The same service costs 2.2 times more in Hawaii than in Florida. 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
$1,288
HI $1,778FL $813
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.