How much rates vary
Facilitymedian $55 · 10th to 90th $44 to $62Professionalmedian $45 · 10th to 90th $25 to $66
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 $33.11 Median $36.31 Typical High $36.31 | Professional | None | $33.11 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $34.67 | Professional | None | $25.12 | $25.12 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $162.18 | Professional | None | $45.71 | $125.89 | $162.18 |
Moda Health Setting Facility Modifier None Typical Low $33.11 Median $44.67 Typical High $60.26 | Facility | None | $33.11 | $44.67 | $60.26 |
Moda Health Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $60.26 | Professional | None | $36.31 | $54.95 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $54.95 Typical High $58.88 | Facility | None | $46.77 | $54.95 | $58.88 |
Pacific Source Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $58.88 | Professional | None | $46.77 | $58.88 | $58.88 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $36.31 Typical High $60.26 | Facility | None | $33.11 | $36.31 | $60.26 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $50.12 Typical High $79.43 | Professional | None | $25.12 | $50.12 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $93.33 Typical High $229.09 | Facility | None | $47.86 | $93.33 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | None | $61.66 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Facility | None | $91.20 | $91.20 | $120.23 |
United Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $53.70 | Professional | None | $25.70 | $27.54 | $53.70 |
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 $16.60 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $16.60 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $6.61 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $5.01 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.31 | $3.63 | $3.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.37 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.63 |
Where Oregon sits
The same service costs 2.5 times more in Hawaii 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· 13th of 51
$50.12
HI $64.57DE $25.70
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.