How much rates vary
Facilitymedian $102 · 10th to 90th $89 to $174Professionalmedian $60 · 10th to 90th $44 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 $70.79 Median $87.10 Typical High $87.10 | Professional | None | $70.79 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $10.72 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.08 | $8.71 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $194.98 Typical High $257.04 | Professional | None | $107.15 | $194.98 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $123.03 | Facility | None | $79.43 | $87.10 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $102.33 | Professional | None | $79.43 | $87.10 | $102.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $16.22 | $17.38 | $17.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $12.02 | $13.18 | $13.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.13 | $8.71 | $8.71 |
Pacific Source Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $104.71 | Facility | None | $102.33 | $102.33 | $104.71 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $117.49 Typical High $416.87 | Facility | None | $89.13 | $117.49 | $416.87 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $72.44 Typical High $100.00 | Professional | None | $43.65 | $72.44 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $85.11 Median $165.96 Typical High $407.38 | Facility | None | $85.11 | $165.96 | $407.38 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $194.98 | Facility | None | $144.54 | $144.54 | $194.98 |
United Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $45.71 | Professional | None | $28.18 | $44.67 | $45.71 |
Where Oregon sits
The same service costs 3.5 times more in Hawaii than in New York. 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· 21st of 51
$72.44
HI $132NY $38.02
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.