How much rates vary
Facilitymedian $537,032 · 10th to 90th $489,779 to $977,237Professionalmedian $512,861 · 10th to 90th $446,684 to $616,595
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 $512,861.38 Median $512,861.38 Typical High $512,861.38 | Professional | None | $512,861.38 | $512,861.38 | $512,861.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $257,039.58 Typical High $257,039.58 | Professional | 52 · Reduced service | $257,039.58 | $257,039.58 | $257,039.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $102,329.30 Typical High $102,329.30 | Professional | 53 · Discontinued | $102,329.30 | $102,329.30 | $102,329.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $75,857.76 Typical High $75,857.76 | Professional | 55 · Aftercare only | $75,857.76 | $75,857.76 | $75,857.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $51,286.14 Typical High $51,286.14 | Professional | 56 · Pre-op care only | $51,286.14 | $51,286.14 | $51,286.14 |
Cigna Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $537,031.80 | Professional | None | $489,778.82 | $489,778.82 | $537,031.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $512,861.38 Typical High $1,071,519.31 | Professional | None | $169.82 | $512,861.38 | $1,071,519.31 |
Moda Health Setting Facility Modifier None Typical Low $489,778.82 Median $512,861.38 Typical High $831,763.77 | Facility | None | $489,778.82 | $512,861.38 | $831,763.77 |
Moda Health Setting Professional Modifier None Typical Low $489,778.82 Median $512,861.38 Typical High $588,843.66 | Professional | None | $489,778.82 | $512,861.38 | $588,843.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $245,470.89 Median $245,470.89 Typical High $245,470.89 | Professional | 52 · Reduced service | $245,470.89 | $245,470.89 | $245,470.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $97,723.72 Median $97,723.72 Typical High $97,723.72 | Professional | 53 · Discontinued | $97,723.72 | $97,723.72 | $97,723.72 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $74,131.02 Median $74,131.02 Typical High $74,131.02 | Professional | 55 · Aftercare only | $74,131.02 | $74,131.02 | $74,131.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $48,977.88 Median $48,977.88 Typical High $48,977.88 | Professional | 56 · Pre-op care only | $48,977.88 | $48,977.88 | $48,977.88 |
Providence Setting Facility Modifier None Typical Low $489,778.82 Median $616,595.00 Typical High $977,237.22 | Facility | None | $489,778.82 | $616,595.00 | $977,237.22 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $616,595.00 Typical High $616,595.00 | Professional | None | $70.79 | $616,595.00 | $616,595.00 |
United Setting Facility Modifier None Typical Low $512,861.38 Median $1,047,128.55 Typical High $1,230,268.77 | Facility | None | $512,861.38 | $1,047,128.55 | $1,230,268.77 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $562,341.33 | Professional | None | $489,778.82 | $489,778.82 | $562,341.33 |
Where Oregon sits
The same service costs 2.0 times more in Texas 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· 43rd of 51
$512,861
TX $1,000,000NJ $489,779
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.