How much rates vary
Facilitymedian $102 · 10th to 90th $74 to $123Professionalmedian $62 · 10th to 90th $52 to $100
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 $60.26 Median $63.10 Typical High $63.10 | Professional | None | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $30.20 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.02 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.12 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $6.03 | $6.31 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $177.83 | Professional | None | $114.82 | $134.90 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $63.10 Median $91.20 Typical High $91.20 | Facility | None | $63.10 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $9.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $6.31 |
Pacific Source Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $123.03 | Facility | None | $74.13 | $102.33 | $123.03 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $81.28 | Facility | None | $57.54 | $57.54 | $81.28 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $181.97 | Professional | None | $52.48 | $52.48 | $181.97 |
United Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | None | $61.66 | $61.66 | $70.79 |
Where Oregon sits
The same service costs 4.6 times more in New York than in North Carolina. 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· 19th of 51
$61.66
NY $200NC $43.65
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.