How much rates vary
Facilitymedian $17,783 · 10th to 90th $11,749 to $22,909Professionalmedian $11,749 · 10th to 90th $8,511 to $19,953
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 $10,232.93 Median $10,715.19 Typical High $10,715.19 | Professional | None | $10,232.93 | $10,715.19 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13,489.63 Median $38,018.94 Typical High $48,977.88 | Professional | None | $13,489.63 | $38,018.94 | $48,977.88 |
Moda Health Setting Facility Modifier None Typical Low $10,715.19 Median $13,489.63 Typical High $17,782.79 | Facility | None | $10,715.19 | $13,489.63 | $17,782.79 |
Moda Health Setting Professional Modifier None Typical Low $10,715.19 Median $16,218.10 Typical High $17,782.79 | Professional | None | $10,715.19 | $16,218.10 | $17,782.79 |
Pacific Source Setting Facility Modifier None Typical Low $16,595.87 Median $17,782.79 Typical High $20,892.96 | Facility | None | $16,595.87 | $17,782.79 | $20,892.96 |
Providence Setting Facility Modifier None Typical Low $10,715.19 Median $11,748.98 Typical High $17,782.79 | Facility | None | $10,715.19 | $11,748.98 | $17,782.79 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $8,511.38 Typical High $17,378.01 | Professional | None | $79.43 | $8,511.38 | $17,378.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,125.38 Median $28,183.83 Typical High $67,608.30 | Facility | None | $14,125.38 | $28,183.83 | $67,608.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $18,197.01 Median $19,952.62 Typical High $19,952.62 | Professional | None | $18,197.01 | $19,952.62 | $19,952.62 |
United Setting Facility Modifier None Typical Low $27,542.29 Median $27,542.29 Typical High $37,153.52 | Facility | None | $27,542.29 | $27,542.29 | $37,153.52 |
United Setting Professional Modifier None Typical Low $7,762.47 Median $8,511.38 Typical High $16,595.87 | Professional | None | $7,762.47 | $8,511.38 | $16,595.87 |
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 $5,128.61 Median $5,370.32 Typical High $5,370.32 | Professional | 52 · Reduced service | $5,128.61 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Professional | 53 · Discontinued | $2,041.74 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,548.82 Median $1,621.81 Typical High $1,621.81 | Professional | 55 · Aftercare only | $1,548.82 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $1,023.29 | $1,071.52 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | 52 · Reduced service | $5,370.32 | $5,370.32 | $5,370.32 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 53 · Discontinued | $2,137.96 | $2,137.96 | $2,137.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 55 · Aftercare only | $1,621.81 | $1,621.81 | $1,621.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $1,071.52 | $1,071.52 | $1,071.52 |
Where Oregon sits
The same service costs 2.6 times more in Montana than in New Jersey. 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
$14,791
MT $21,878NJ $8,511
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.