How much rates vary
Facilitymedian $295 · 10th to 90th $186 to $4,898Professionalmedian $275 · 10th to 90th $257 to $513
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 Facility Modifier None Typical Low $5,128.61 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | None | $223.87 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $2,137.96 | Facility | None | $660.69 | $1,000.00 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $346.74 Typical High $407.38 | Professional | None | $208.93 | $346.74 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $7,943.28 Typical High $17,378.01 | Facility | None | $302.00 | $7,943.28 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | None | $229.09 | $275.42 | $275.42 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $354.81 | Facility | None | $186.21 | $295.12 | $354.81 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $691.83 Typical High $2,137.96 | Facility | None | $169.82 | $691.83 | $2,137.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $323.59 | Professional | None | $79.43 | $79.43 | $323.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $446.68 | Professional | None | $257.04 | $275.42 | $446.68 |
United Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $4,897.79 | Facility | None | $151.36 | $275.42 | $4,897.79 |
United Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $549.54 | Professional | None | $316.23 | $426.58 | $549.54 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $107.15 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $42.66 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $31.62 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $21.38 | $27.54 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $169.82 | $204.17 | $204.17 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $33.88 | $40.74 | $40.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $22.91 | $27.54 | $27.54 |
Where Oregon sits
The same service costs 18.6 times more in Texas 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
$295
TX $1,047NY $56.23
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.