How much rates vary
Facilitymedian $14 · 10th to 90th $12 to $25Professionalmedian $12 · 10th to 90th $6 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 $8.91 Median $12.02 Typical High $12.02 | Professional | None | $8.91 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $4.68 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $1.86 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.41 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $0.93 | $1.23 | $1.23 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $26.92 Typical High $36.31 | Professional | None | $15.14 | $26.92 | $36.31 |
Moda Health Setting Facility Modifier None Typical Low $10.96 Median $12.02 Typical High $17.38 | Facility | None | $10.96 | $12.02 | $17.38 |
Moda Health Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $14.13 | Professional | None | $10.96 | $12.02 | $14.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $5.62 | $6.03 | $6.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.45 Typical High $2.45 | Professional | 53 · Discontinued | $2.24 | $2.45 | $2.45 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.70 | $1.82 | $1.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.12 | $1.23 | $1.23 |
Pacific Source Setting Facility Modifier None Typical Low $12.30 Median $14.45 Typical High $14.79 | Facility | None | $12.30 | $14.45 | $14.79 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $16.60 Typical High $58.88 | Facility | None | $12.59 | $16.60 | $58.88 |
Providence Setting Professional Modifier None Typical Low $6.03 Median $14.45 Typical High $2,570,395.78 | Professional | None | $6.03 | $14.45 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.75 Median $23.44 Typical High $57.54 | Facility | None | $11.75 | $23.44 | $57.54 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $26.92 | Facility | None | $19.95 | $19.95 | $26.92 |
United Setting Professional Modifier None Typical Low $5.75 Median $6.17 Typical High $14.13 | Professional | None | $5.75 | $6.17 | $14.13 |
Where Oregon sits
The same service costs 2.7 times more in Montana 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· 10th of 51
$12.02
MT $16.22UT $6.03
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.