How much rates vary
Facilitymedian $78 · 10th to 90th $71 to $132Professionalmedian $65 · 10th to 90th $37 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 $60.26 Median $64.57 Typical High $64.57 | Professional | None | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $30.20 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.02 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.12 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.03 | $6.46 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $218.78 | Professional | None | $79.43 | $165.96 | $218.78 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $93.33 | Facility | None | $58.88 | $64.57 | $93.33 |
Moda Health Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $75.86 | Professional | None | $61.66 | $69.18 | $75.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $32.36 | $32.36 | $32.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.88 | $12.88 | $12.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.55 | $9.77 | $9.77 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $6.46 |
Pacific Source Setting Facility Modifier None Typical Low $74.13 Median $77.62 Typical High $79.43 | Facility | None | $74.13 | $77.62 | $79.43 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $316.23 | Facility | None | $66.07 | $89.13 | $316.23 |
Providence Setting Professional Modifier None Typical Low $37.15 Median $77.62 Typical High $102.33 | Professional | None | $37.15 | $77.62 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $63.10 Median $125.89 Typical High $302.00 | Facility | None | $63.10 | $125.89 | $302.00 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $162.18 | Facility | None | $123.03 | $123.03 | $162.18 |
United Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $42.66 | Professional | None | $35.48 | $38.02 | $42.66 |
Where Oregon sits
The same service costs 2.6 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· 17th of 51
$64.57
MT $95.50IN $37.15
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.