How much rates vary
Facilitymedian $21 · 10th to 90th $19 to $42Professionalmedian $18 · 10th to 90th $10 to $100
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 $14.45 Median $17.78 Typical High $17.78 | Professional | None | $14.45 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $7.76 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.09 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.29 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.55 | $1.82 | $1.82 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $43.65 Typical High $57.54 | Professional | None | $22.39 | $43.65 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $25.70 | Facility | None | $16.22 | $17.78 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $20.89 | Professional | None | $16.22 | $17.78 | $20.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $8.91 | $8.91 | $8.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.55 | $3.63 | $3.63 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $2.69 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.78 | $1.82 | $1.82 |
Pacific Source Setting Facility Modifier None Typical Low $19.05 Median $21.38 Typical High $21.88 | Facility | None | $19.05 | $21.38 | $21.88 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $24.55 Typical High $87.10 | Facility | None | $18.62 | $24.55 | $87.10 |
Providence Setting Professional Modifier None Typical Low $9.55 Median $21.38 Typical High $2,570,395.78 | Professional | None | $9.55 | $21.38 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $17.38 Median $34.67 Typical High $85.11 | Facility | None | $17.38 | $34.67 | $85.11 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $42.66 | Facility | None | $32.36 | $32.36 | $42.66 |
United Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $57.54 | Professional | None | $9.33 | $9.77 | $57.54 |
Where Oregon sits
The same service costs 3.0 times more in Montana 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· 15th of 51
$17.78
MT $25.12NY $8.51
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.