How much rates vary
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 $2,041.74 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,041.74 | $2,238.72 | $2,238.72 |
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 $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $7,943.28 Typical High $10,000.00 | Professional | None | $2,818.38 | $7,943.28 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $3,801.89 | Facility | None | $2,238.72 | $3,235.94 | $3,801.89 |
Moda Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $3,801.89 | Professional | None | $2,238.72 | $3,467.37 | $3,801.89 |
Pacific Source Setting Facility Modifier None Typical Low $3,630.78 Median $3,715.35 Typical High $3,890.45 | Facility | None | $3,630.78 | $3,715.35 | $3,890.45 |
Providence Setting Facility Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $3,801.89 | Facility | None | $2,290.87 | $2,454.71 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,778.28 Typical High $3,630.78 | Professional | None | $79.43 | $1,778.28 | $3,630.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $5,888.44 Typical High $14,454.40 | Facility | None | $3,019.95 | $5,888.44 | $14,454.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,801.89 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,413.10 | Facility | None | $5,495.41 | $5,495.41 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $3,311.31 | Professional | None | $1,584.89 | $1,698.24 | $3,311.31 |
4 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 55 · Aftercare only Typical Low $309.03 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $309.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $204.17 | $223.87 | $223.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $338.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $223.87 | $223.87 | $223.87 |
Where Oregon sits
The same service costs 2.3 times more in Montana than in Delaware. 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
$3,090
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.