How much rates vary
Facilitymedian $219 · 10th to 90th $191 to $417Professionalmedian $110 · 10th to 90th $102 to $468
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 $173.78 Median $177.83 Typical High $186.21 | Professional | None | $173.78 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 52 · Reduced service | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $35.48 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.92 Typical High $27.54 | Professional | 55 · Aftercare only | $26.30 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $467.74 Typical High $630.96 | Professional | None | $223.87 | $467.74 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $257.04 | Facility | None | $162.18 | $177.83 | $257.04 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $208.93 | Professional | None | $165.96 | $177.83 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $35.48 | $36.31 | $36.31 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $26.92 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $17.78 |
Pacific Source Setting Facility Modifier None Typical Low $213.80 Median $218.78 Typical High $239.88 | Facility | None | $213.80 | $218.78 | $239.88 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $245.47 Typical High $870.96 | Facility | None | $186.21 | $245.47 | $870.96 |
Providence Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $2,570,395.78 | Professional | None | $100.00 | $107.15 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $346.74 Typical High $851.14 | Facility | None | $173.78 | $346.74 | $851.14 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $478.63 | Facility | None | $354.81 | $354.81 | $478.63 |
United Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $131.83 | Professional | None | $102.33 | $109.65 | $131.83 |
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 2.8 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· 45th of 51
$123
MN $295UT $107
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.