How much rates vary
Facilitymedian $676 · 10th to 90th $525 to $933Professionalmedian $437 · 10th to 90th $316 to $776
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 $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $1,548.82 Typical High $1,995.26 | Professional | None | $524.81 | $1,548.82 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $602.56 Typical High $707.95 | Facility | None | $416.87 | $602.56 | $707.95 |
Moda Health Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $707.95 | Professional | None | $416.87 | $645.65 | $707.95 |
Pacific Source Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $891.25 | Facility | None | $549.54 | $676.08 | $891.25 |
Pacific Source Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $707.95 | Facility | None | $416.87 | $436.52 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $316.23 Typical High $676.08 | Professional | None | $79.43 | $316.23 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $562.34 Median $1,096.48 Typical High $2,691.53 | Facility | None | $562.34 | $1,096.48 | $2,691.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $776.25 | Professional | None | $707.95 | $776.25 | $776.25 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,513.56 | Facility | None | $1,122.02 | $1,122.02 | $1,513.56 |
United Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $676.08 | Professional | None | $316.23 | $346.74 | $676.08 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $61.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Where Oregon sits
The same service costs 2.8 times more in Montana 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· 15th of 51
$550
MT $891FL $316
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.