How much rates vary
Facilitymedian $933 · 10th to 90th $282 to $2,884Professionalmedian $501 · 10th to 90th $331 to $851
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 $302.00 Median $331.13 Typical High $331.13 | Professional | None | $302.00 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,737.80 Typical High $2,290.87 | Facility | None | $977.24 | $1,737.80 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $851.14 | Professional | None | $549.54 | $691.83 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $363.08 Median $5,011.87 Typical High $7,943.28 | Facility | None | $363.08 | $5,011.87 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | None | $309.03 | $331.13 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $316.23 Typical High $1,737.80 | Facility | None | $199.53 | $316.23 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $1,698.24 Typical High $2,454.71 | Facility | None | $549.54 | $1,698.24 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $478.63 Typical High $630.96 | Professional | None | $79.43 | $478.63 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,511.89 Median $4,677.35 Typical High $7,585.78 | Facility | None | $2,511.89 | $4,677.35 | $7,585.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $812.83 | Professional | None | $501.19 | $524.81 | $812.83 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $933.25 | Professional | None | $457.09 | $549.54 | $933.25 |
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 $151.36 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $151.36 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $45.71 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $30.20 | $33.11 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $151.36 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $60.26 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $45.71 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $30.20 | $33.11 | $33.11 |
Where Oregon sits
The same service costs 7.1 times more in Alaska 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· 8th of 51
$525
AK $1,122KY $158
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.