How much rates vary
Facilitymedian $8,128 · 10th to 90th $389 to $25,119Professionalmedian $407 · 10th to 90th $288 to $676
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 $251.19 Median $288.40 Typical High $288.40 | Professional | None | $251.19 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $23,442.29 Typical High $31,622.78 | Facility | None | $1,023.29 | $23,442.29 | $31,622.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $676.08 | Professional | None | $478.63 | $562.34 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $5,011.87 Typical High $7,943.28 | Facility | None | $316.23 | $5,011.87 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $537.03 Typical High $16,982.44 | Facility | None | $331.13 | $537.03 | $16,982.44 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $22,387.21 Typical High $30,199.52 | Facility | None | $549.54 | $22,387.21 | $30,199.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $512.86 | Professional | None | $79.43 | $79.43 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $36,307.81 Median $45,708.82 Typical High $56,234.13 | Facility | None | $36,307.81 | $45,708.82 | $56,234.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $645.65 | Professional | None | $407.38 | $426.58 | $645.65 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $776.25 | Professional | None | $338.84 | $478.63 | $776.25 |
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 $125.89 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $125.89 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 54 · Surgery only | $186.21 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $38.02 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $25.12 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $144.54 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $57.54 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 54 · Surgery only | $218.78 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $43.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $28.84 |
Where Oregon sits
The same service costs 9.5 times more in Arkansas than in Kentucky. 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· 12th of 51
$490
AR $1,905KY $200
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.