How much rates vary
Facilitymedian $2,570 · 10th to 90th $427 to $6,026Professionalmedian $575 · 10th to 90th $398 to $1,047
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | None | $389.05 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $4,570.88 Typical High $6,025.60 | Facility | None | $1,023.29 | $4,570.88 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,174.90 | Professional | None | $851.14 | $1,000.00 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $6,025.60 Typical High $8,709.64 | Facility | None | $446.68 | $6,025.60 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $302.00 Median $1,659.59 Typical High $3,467.37 | Facility | None | $302.00 | $1,659.59 | $3,467.37 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $4,265.80 Typical High $6,025.60 | Facility | None | $660.69 | $4,265.80 | $6,025.60 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $724.44 | Professional | None | $79.43 | $79.43 | $724.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,511.38 Median $11,481.54 Typical High $12,882.50 | Facility | None | $8,511.38 | $11,481.54 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $933.25 | Professional | None | $575.44 | $602.56 | $933.25 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,288.25 | Professional | None | $489.78 | $660.69 | $1,288.25 |
11 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 $181.97 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $181.97 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $275.42 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $36.31 | $39.81 | $39.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $302.00 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $12,882.50 Median $16,982.44 Typical High $19,498.45 | Facility | 50 · Both sides | $12,882.50 | $16,982.44 | $19,498.45 |
Where Oregon sits
The same service costs 28.2 times more in Texas 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· 14th of 51
$676
TX $2,570KY $91.20
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.