How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,549 to $2,630Professionalmedian $1,549 · 10th to 90th $1,175 to $2,884
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 $1,412.54 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,412.54 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,258.93 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $5,495.41 Typical High $6,918.31 | Professional | None | $1,949.84 | $5,495.41 | $6,918.31 |
Moda Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,630.27 | Facility | None | $1,548.82 | $1,949.84 | $2,630.27 |
Moda Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $2,630.27 | Professional | None | $1,548.82 | $2,398.83 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $2,630.27 | Facility | None | $2,290.87 | $2,570.40 | $2,630.27 |
Providence Setting Facility Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,570.40 | Facility | None | $1,479.11 | $1,548.82 | $2,570.40 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,258.93 Typical High $2,511.89 | Professional | None | $79.43 | $1,258.93 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,630.27 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $2,344.23 | Professional | None | $1,096.48 | $1,174.90 | $2,344.23 |
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 $707.95 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $707.95 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $281.84 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $213.80 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $141.25 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Where Oregon sits
The same service costs 2.6 times more in Montana than in New York. 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
$2,042
MT $2,754NY $1,072
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.