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 $83.18 Median $91.20 Typical High $91.20 | Professional | None | $83.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $12.59 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $8.32 | $9.12 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $234.42 Typical High $316.23 | Professional | None | $112.20 | $234.42 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $91.20 Typical High $128.82 | Facility | None | $83.18 | $91.20 | $128.82 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $107.15 | Professional | None | $87.10 | $91.20 | $107.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $44.67 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $17.78 | $18.20 | $18.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $13.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.12 Typical High $9.12 | Professional | 56 · Pre-op care only | $8.91 | $9.12 | $9.12 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $109.65 | Facility | None | $104.71 | $107.15 | $109.65 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $436.52 | Facility | None | $93.33 | $123.03 | $436.52 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $117.49 | Professional | None | $52.48 | $79.43 | $117.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $89.13 Median $173.78 Typical High $426.58 | Facility | None | $89.13 | $173.78 | $426.58 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Facility | None | $173.78 | $173.78 | $234.42 |
United Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $54.95 | Professional | None | $50.12 | $53.70 | $54.95 |
Where Oregon sits
The same service costs 4.2 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· 17th of 51
$91.20
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.