How much rates vary
Facilitymedian $3,890 · 10th to 90th $3,467 to $6,918Professionalmedian $3,548 · 10th to 90th $3,467 to $4,898
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 $3,467.37 Median $3,467.37 Typical High $3,715.35 | Professional | None | $3,467.37 | $3,467.37 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $3,467.37 Median $4,570.88 Typical High $5,011.87 | Facility | None | $3,467.37 | $4,570.88 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,715.35 | Professional | None | $3,467.37 | $3,467.37 | $3,715.35 |
Pacific Source Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Providence Setting Facility Modifier None Typical Low $3,467.37 Median $4,897.79 Typical High $7,762.47 | Facility | None | $3,467.37 | $4,897.79 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,548.13 Typical High $4,897.79 | Professional | None | $79.43 | $3,548.13 | $4,897.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $4,265.80 Typical High $7,413.10 | Facility | None | $2,041.74 | $4,265.80 | $7,413.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,801.89 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,801.89 | $3,981.07 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $3,235.94 Typical High $3,801.89 | Facility | None | $1,584.89 | $3,235.94 | $3,801.89 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,467.37 | $4,073.80 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $346.74 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $691.83 | $691.83 | $691.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $346.74 | $346.74 | $346.74 |
Where Oregon sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 10th of 51
$3,548
NC $5,370NE $3,388
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.