How much rates vary
Facilitymedian $95 · 10th to 90th $78 to $155Professionalmedian $81 · 10th to 90th $35 to $110
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 $53.70 Median $81.28 Typical High $81.28 | Professional | None | $53.70 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $26.92 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $10.96 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $8.13 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $5.37 | $7.94 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $213.80 | Professional | None | $100.00 | $158.49 | $213.80 |
Moda Health Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $114.82 | Facility | None | $72.44 | $81.28 | $114.82 |
Moda Health Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $95.50 | Professional | None | $72.44 | $81.28 | $95.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $12.02 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $9.12 | $12.02 | $12.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.03 | $8.13 | $8.13 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $93.33 Typical High $97.72 | Facility | None | $77.62 | $93.33 | $97.72 |
Pacific Source Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $389.05 | Facility | None | $83.18 | $109.65 | $389.05 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $79.43 Typical High $100.00 | Professional | None | $35.48 | $79.43 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $77.62 Median $154.88 Typical High $380.19 | Facility | None | $77.62 | $154.88 | $380.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | None | $104.71 | $104.71 | $109.65 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $158.49 | Facility | None | $120.23 | $120.23 | $158.49 |
United Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $42.66 | Professional | None | $34.67 | $36.31 | $42.66 |
Where Oregon sits
The same service costs 2.8 times more in Montana than in Alabama. 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· 7th of 51
$81.28
MT $100AL $36.31
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.