How much rates vary
Facilitymedian $138 · 10th to 90th $117 to $269Professionalmedian $100 · 10th to 90th $62 to $269
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 $100.00 Median $114.82 Typical High $114.82 | Professional | None | $100.00 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $20.89 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $15.49 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.23 | $11.48 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $363.08 | Professional | None | $144.54 | $275.42 | $363.08 |
Moda Health Setting Facility Modifier None Typical Low $104.71 Median $114.82 Typical High $165.96 | Facility | None | $104.71 | $114.82 | $165.96 |
Moda Health Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $134.90 | Professional | None | $104.71 | $114.82 | $134.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $53.70 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $21.88 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $16.22 | $17.38 | $17.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.96 | $11.48 | $11.48 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $141.25 | Facility | None | $123.03 | $138.04 | $141.25 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $562.34 | Facility | None | $117.49 | $158.49 | $562.34 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $2,570,395.78 | Professional | None | $61.66 | $85.11 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $549.54 | Facility | None | $112.20 | $223.87 | $549.54 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Facility | None | $204.17 | $204.17 | $275.42 |
United Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $75.86 | Professional | None | $58.88 | $63.10 | $75.86 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Oregon sits
The same service costs 2.5 times more in Minnesota than in Utah. 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· 27th of 51
$100
MN $151UT $61.66
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.