How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,445 to $2,399Professionalmedian $1,413 · 10th to 90th $832 to $2,630
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 $1,096.48 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $4,168.69 Typical High $5,248.07 | Professional | None | $1,778.28 | $4,168.69 | $5,248.07 |
Moda Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,778.28 | $2,398.83 |
Moda Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $2,398.83 | Professional | None | $1,412.54 | $2,137.96 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,344.23 | Facility | None | $1,778.28 | $2,041.74 | $2,344.23 |
Pacific Source Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,995.26 | $1,995.26 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,398.83 | Facility | None | $1,122.02 | $1,412.54 | $2,398.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $831.76 Typical High $2,290.87 | Professional | None | $79.43 | $831.76 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,862.09 Median $3,715.35 Typical High $9,120.11 | Facility | None | $1,862.09 | $3,715.35 | $9,120.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,398.83 | $2,630.27 | $2,630.27 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,951.21 | $2,951.21 | $3,981.07 |
United Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,778.28 | Professional | None | $831.76 | $912.01 | $1,778.28 |
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 $549.54 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $549.54 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $218.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $162.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $109.65 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Where Oregon sits
The same service costs 3.1 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· 11th of 51
$1,820
HI $2,692DE $871
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.