How much rates vary
Facilitymedian $794 · 10th to 90th $513 to $1,047Professionalmedian $490 · 10th to 90th $295 to $912
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 $389.05 Median $489.78 Typical High $489.78 | Professional | None | $389.05 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $1,479.11 Typical High $1,862.09 | Professional | None | $616.60 | $1,479.11 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $831.76 | Facility | None | $489.78 | $616.60 | $831.76 |
Moda Health Setting Professional Modifier None Typical Low $489.78 Median $758.58 Typical High $831.76 | Professional | None | $489.78 | $758.58 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $812.83 | Facility | None | $630.96 | $794.33 | $812.83 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $831.76 | Facility | None | $398.11 | $489.78 | $831.76 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $295.12 Typical High $794.33 | Professional | None | $79.43 | $295.12 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $1,288.25 Typical High $3,162.28 | Facility | None | $645.65 | $1,288.25 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $912.01 | Professional | None | $831.76 | $912.01 | $912.01 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Facility | None | $1,047.13 | $1,047.13 | $1,412.54 |
United Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $630.96 | Professional | None | $295.12 | $323.59 | $630.96 |
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 $194.98 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $194.98 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $77.62 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $57.54 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $38.90 | $48.98 | $48.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $245.47 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $97.72 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $74.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $48.98 |
Where Oregon sits
The same service costs 2.8 times more in Wisconsin 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· 12th of 51
$631
WI $851FL $309
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.