How much rates vary
Facilitymedian $129 · 10th to 90th $110 to $282Professionalmedian $98 · 10th to 90th $63 to $117
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 $95.50 Median $107.15 Typical High $107.15 | Professional | None | $95.50 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $47.86 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $19.05 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $14.45 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.55 | $10.72 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $275.42 Typical High $371.54 | Professional | None | $131.83 | $275.42 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $151.36 | Facility | None | $97.72 | $125.89 | $151.36 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $125.89 | Professional | None | $97.72 | $107.15 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $52.48 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $15.85 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.47 | $10.72 | $10.72 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $128.82 | Facility | None | $125.89 | $125.89 | $128.82 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $512.86 | Facility | None | $109.65 | $144.54 | $512.86 |
Providence Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $117.49 | Professional | None | $63.10 | $87.10 | $117.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $104.71 Median $204.17 Typical High $501.19 | Facility | None | $104.71 | $204.17 | $501.19 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $281.84 | Facility | None | $208.93 | $208.93 | $281.84 |
United Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $64.57 | Professional | None | $50.12 | $64.57 | $64.57 |
Where Oregon sits
The same service costs 2.9 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· 26th of 51
$97.72
HI $170NY $58.88
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.