How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,318 to $2,188Professionalmedian $1,259 · 10th to 90th $832 to $1,950
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 $1,000.00 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,000.00 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $3,715.35 Typical High $4,786.30 | Professional | None | $1,318.26 | $3,715.35 | $4,786.30 |
Moda Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,737.80 | Facility | None | $1,047.13 | $1,288.25 | $1,737.80 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,584.89 | $1,737.80 |
Pacific Source Setting Facility Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,348.96 | $1,659.59 | $2,187.76 |
Pacific Source Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,737.80 | $1,737.80 | $2,187.76 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,737.80 | Facility | None | $1,047.13 | $1,318.26 | $1,737.80 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $977.24 Typical High $1,659.59 | Professional | None | $79.43 | $977.24 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,380.38 Median $2,754.23 Typical High $6,606.93 | Facility | None | $1,380.38 | $2,754.23 | $6,606.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,778.28 | $1,949.84 | $1,949.84 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,630.78 | Facility | None | $2,691.53 | $2,691.53 | $3,630.78 |
United Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,621.81 | Professional | None | $758.58 | $831.76 | $1,621.81 |
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 $501.19 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $501.19 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $199.53 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $100.00 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Where Oregon sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 18th of 51
$1,349
MT $2,239PA $891
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.