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 $117.49 Median $117.49 Typical High $120.23 | Professional | None | $117.49 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
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 $107.15 Median $138.04 Typical High $169.82 | Facility | None | $107.15 | $138.04 | $169.82 |
Moda Health Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $138.04 | Professional | None | $114.82 | $117.49 | $138.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.99 | $23.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $141.25 | Facility | None | $138.04 | $138.04 | $141.25 |
Providence Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $173.78 | Facility | None | $120.23 | $134.90 | $173.78 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $134.90 | Professional | None | $58.88 | $100.00 | $134.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | None | $151.36 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $72.44 | Professional | None | $57.54 | $60.26 | $72.44 |
Where Oregon sits
The same service costs 3.0 times more in California 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· 13th of 51
$117
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.