How much rates vary
Facilitymedian $4,169 · 10th to 90th $3,236 to $5,370Professionalmedian $2,818 · 10th to 90th $1,862 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 $2,238.72 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $8,511.38 Typical High $10,715.19 | Professional | None | $3,235.94 | $8,511.38 | $10,715.19 |
Moda Health Setting Facility Modifier None Typical Low $2,511.89 Median $3,235.94 Typical High $4,365.16 | Facility | None | $2,511.89 | $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 $4,168.69 Typical High $4,897.79 | Facility | None | $3,388.44 | $4,168.69 | $4,897.79 |
Providence Setting Facility Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,511.89 | $2,951.21 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,187.76 Typical High $4,168.69 | Professional | None | $79.43 | $2,187.76 | $4,168.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $6,760.83 Typical High $16,595.87 | Facility | None | $3,467.37 | $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 $6,025.60 Median $6,025.60 Typical High $8,128.31 | Facility | None | $6,025.60 | $6,025.60 | $8,128.31 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $3,630.78 | Professional | None | $1,698.24 | $1,862.09 | $3,630.78 |
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 $1,122.02 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,122.02 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $446.68 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $331.13 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $223.87 | $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 $524.81 Median $524.81 Typical High $524.81 | Professional | 53 · Discontinued | $524.81 | $524.81 | $524.81 |
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 2.5 times more in Montana 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
$3,388
MT $4,898DC $1,995
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.