How much rates vary
Facilitymedian $35 · 10th to 90th $25 to $87Professionalmedian $25 · 10th to 90th $23 to $36
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 Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $36.31 | Facility | None | $30.20 | $30.20 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $30.90 | Professional | None | $24.55 | $24.55 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $41.69 Typical High $60.26 | Facility | None | $23.99 | $41.69 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | None | $23.44 | $24.55 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $75.86 | Professional | None | $38.90 | $52.48 | $75.86 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $25.70 Typical High $91.20 | Facility | None | $24.55 | $25.70 | $91.20 |
Moda Health Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $30.90 | Professional | None | $23.99 | $24.55 | $30.90 |
Pacific Source Setting Facility Modifier None Typical Low $27.54 Median $41.69 Typical High $56.23 | Facility | None | $27.54 | $41.69 | $56.23 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $30.20 Typical High $60.26 | Facility | None | $25.70 | $30.20 | $60.26 |
Providence Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $79.43 | Professional | None | $24.55 | $28.84 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $42.66 Median $64.57 Typical High $97.72 | Facility | None | $42.66 | $64.57 | $97.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | None | $23.44 | $24.55 | $24.55 |
United Setting Facility Modifier None Typical Low $24.55 Median $50.12 Typical High $58.88 | Facility | None | $24.55 | $50.12 | $58.88 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | None | $23.99 | $23.99 | $27.54 |
9 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 $12.30 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.01 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $2.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.79 | $4.79 | $4.79 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $3.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $2.34 |
Moda Health Setting Professional Modifier JZ · No drug discarded Typical Low $28.84 Median $87.10 Typical High $199.53 | Professional | JZ · No drug discarded | $28.84 | $87.10 | $199.53 |
Where Oregon sits
The same service costs 2.8 times more in Wyoming 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· 37th of 51
$24.55
WY $61.66NC $22.39
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.