How much rates vary
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 $81.28 Typical High $81.28 | Professional | None | $70.79 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $35.48 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $14.13 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $10.47 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.08 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $257.04 | Professional | None | $102.33 | $190.55 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $74.13 Median $81.28 Typical High $117.49 | Facility | None | $74.13 | $81.28 | $117.49 |
Moda Health Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $95.50 | Professional | None | $74.13 | $81.28 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $38.90 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $16.60 | $16.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $11.48 | $12.30 | $12.30 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.76 | $8.13 | $8.13 |
Pacific Source Setting Facility Modifier None Typical Low $85.11 Median $97.72 Typical High $100.00 | Facility | None | $85.11 | $97.72 | $100.00 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $112.20 Typical High $398.11 | Facility | None | $85.11 | $112.20 | $398.11 |
Providence Setting Professional Modifier None Typical Low $42.66 Median $79.43 Typical High $100.00 | Professional | None | $42.66 | $79.43 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $79.43 Median $158.49 Typical High $389.05 | Facility | None | $79.43 | $158.49 | $389.05 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $190.55 | Facility | None | $144.54 | $144.54 | $190.55 |
United Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $47.86 | Professional | None | $28.18 | $43.65 | $47.86 |
Where Oregon sits
The same service costs 3.2 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· 11th of 51
$79.43
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.