How much rates vary
Facilitymedian $50 · 10th to 90th $46 to $85Professionalmedian $41 · 10th to 90th $20 to $72
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 $32.36 Median $41.69 Typical High $41.69 | Professional | None | $32.36 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $16.22 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $6.46 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $4.90 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.24 | $4.17 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $89.13 Typical High $120.23 | Professional | None | $52.48 | $89.13 | $120.23 |
Moda Health Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $60.26 | Facility | None | $38.02 | $41.69 | $60.26 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $52.48 | Professional | None | $38.90 | $41.69 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $17.78 | $20.89 | $20.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.08 | $8.51 | $8.51 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $5.37 | $6.31 | $6.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.17 Typical High $4.17 | Professional | 56 · Pre-op care only | $3.55 | $4.17 | $4.17 |
Pacific Source Setting Facility Modifier None Typical Low $48.98 Median $50.12 Typical High $51.29 | Facility | None | $48.98 | $50.12 | $51.29 |
Providence Setting Facility Modifier None Typical Low $43.65 Median $57.54 Typical High $204.17 | Facility | None | $43.65 | $57.54 | $204.17 |
Providence Setting Professional Modifier None Typical Low $19.95 Median $50.12 Typical High $100.00 | Professional | None | $19.95 | $50.12 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $40.74 Median $81.28 Typical High $199.53 | Facility | None | $40.74 | $81.28 | $199.53 |
United Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $89.13 | Facility | None | $66.07 | $66.07 | $89.13 |
United Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $28.18 | Professional | None | $19.05 | $20.42 | $28.18 |
Where Oregon sits
The same service costs 3.2 times more in Montana than in Indiana. 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· 7th of 51
$41.69
MT $64.57IN $19.95
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.