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 $20.42 Median $20.89 Typical High $20.89 | Professional | None | $20.42 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.00 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.17 Typical High $4.27 | Professional | 53 · Discontinued | $4.07 | $4.17 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.16 Typical High $3.16 | Professional | 55 · Aftercare only | $3.02 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.09 Typical High $2.09 | Professional | 56 · Pre-op care only | $2.04 | $2.09 | $2.09 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.70 Median $53.70 Typical High $72.44 | Professional | None | $25.70 | $53.70 | $72.44 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $29.51 | Facility | None | $19.05 | $20.89 | $29.51 |
Moda Health Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $24.55 | Professional | None | $19.05 | $20.89 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $10.23 | $10.47 | $10.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.16 Typical High $3.16 | Professional | 55 · Aftercare only | $3.09 | $3.16 | $3.16 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | 56 · Pre-op care only | $2.09 | $2.09 | $2.09 |
Pacific Source Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $25.12 | Facility | None | $24.55 | $24.55 | $25.12 |
Providence Setting Facility Modifier None Typical Low $21.38 Median $28.18 Typical High $102.33 | Facility | None | $21.38 | $28.18 | $102.33 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $24.55 Typical High $2,570,395.78 | Professional | None | $12.30 | $24.55 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.42 Median $39.81 Typical High $97.72 | Facility | None | $20.42 | $39.81 | $97.72 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $54.95 | Facility | None | $41.69 | $41.69 | $54.95 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $15.14 | Professional | None | $12.02 | $12.59 | $15.14 |
Where Oregon sits
The same service costs 3.5 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· 18th of 51
$20.89
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.