How much rates vary
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 $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 52 · Reduced service | $0.43 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | None | $169.82 | $169.82 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $0.85 Median $0.93 Typical High $1.23 | Facility | None | $0.85 | $0.93 | $1.23 |
Moda Health Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 52 · Reduced service | $0.43 | $0.43 | $0.43 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
Pacific Source Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $95.50 | Facility | None | $60.26 | $60.26 | $95.50 |
Providence Setting Facility Modifier None Typical Low $0.85 Median $0.93 Typical High $1.23 | Facility | None | $0.85 | $0.93 | $1.23 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | None | $70.79 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $389.05 | Facility | None | $190.55 | $281.84 | $389.05 |
United Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $269.15 | Facility | None | $173.78 | $218.78 | $269.15 |
Where Oregon sits
The same service costs 173.8 times more in Missouri than in Illinois. 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· 42nd of 51
$0.85
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.