How much rates vary
Facilitymedian $468 · 10th to 90th $135 to $2,239Professionalmedian $355 · 10th to 90th $155 to $4,169
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $630.96 Typical High $1,000.00 | Facility | None | $512.86 | $630.96 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $5,128.61 | Professional | None | $213.80 | $331.13 | $5,128.61 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $5,011.87 Typical High $7,943.28 | Facility | None | $169.82 | $5,011.87 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $5,495.41 | Professional | None | $154.88 | $218.78 | $5,495.41 |
Pacific Source Setting Facility Modifier None Typical Low $95.50 Median $380.19 Typical High $575.44 | Facility | None | $95.50 | $380.19 | $575.44 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $645.65 Typical High $3,162.28 | Facility | None | $281.84 | $645.65 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $1,698.24 | Professional | None | $79.43 | $169.82 | $1,698.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $2,691.53 | Facility | None | $1,659.59 | $2,344.23 | $2,691.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $1,122.02 Typical High $1,778.28 | Professional | None | $338.84 | $1,122.02 | $1,778.28 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $562.34 | Professional | None | $218.78 | $309.03 | $562.34 |
8 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 $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $22.91 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $15.14 |
Where Oregon sits
The same service costs 24.5 times more in Texas than in Missouri. 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· 8th of 51
$457
TX $1,995MO $81.28
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.