How much rates vary
Facilitymedian $21 · 10th to 90th $18 to $35Professionalmedian $14 · 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 $13.49 Median $17.78 Typical High $17.78 | Professional | None | $13.49 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $7.24 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $2.95 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $2.19 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.45 | $1.78 | $1.78 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.88 Median $43.65 Typical High $57.54 | Professional | None | $21.88 | $43.65 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $25.12 | Facility | None | $15.85 | $17.78 | $25.12 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.47 | $3.55 | $3.55 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $2.63 | $2.63 | $2.63 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.74 | $1.78 | $1.78 |
Pacific Source Setting Facility Modifier None Typical Low $20.42 Median $20.89 Typical High $21.38 | Facility | None | $20.42 | $20.89 | $21.38 |
Providence Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $85.11 | Facility | None | $18.20 | $23.99 | $85.11 |
Providence Setting Professional Modifier None Typical Low $9.77 Median $20.89 Typical High $2,570,395.78 | Professional | None | $9.77 | $20.89 | $2,570,395.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $17.38 Median $33.88 Typical High $83.18 | Facility | None | $17.38 | $33.88 | $83.18 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $43.65 | Facility | None | $32.36 | $32.36 | $43.65 |
United Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $14.13 | Professional | None | $9.33 | $10.00 | $14.13 |
Where Oregon sits
The same service costs 3.2 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
$17.38
MT $26.92NY $8.32
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.