How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,549 to $6,761Professionalmedian $2,344 · 10th to 90th $1,479 to $3,981
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 $1,258.93 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,479.11 | $1,479.11 |
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 $2,511.89 Median $2,884.03 Typical High $3,548.13 | Professional | None | $2,511.89 | $2,884.03 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $1,621.81 Median $6,025.60 Typical High $8,709.64 | Facility | None | $1,621.81 | $6,025.60 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $4,570.88 | Facility | None | $1,819.70 | $2,630.27 | $4,570.88 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,380.38 Typical High $2,511.89 | Facility | None | $660.69 | $1,380.38 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,489.63 Median $17,782.79 Typical High $20,417.38 | Facility | None | $13,489.63 | $17,782.79 | $20,417.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $3,981.07 | Professional | None | $2,187.76 | $2,290.87 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,022.64 | Facility | None | $1,230.27 | $1,862.09 | $12,022.64 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $4,677.35 | Professional | None | $2,041.74 | $2,951.21 | $4,677.35 |
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 $630.96 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $630.96 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $251.19 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $954.99 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $190.55 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $125.89 | $147.91 | $147.91 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $147.91 |
Where Oregon sits
The same service costs 109.6 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· 7th of 51
$2,570
AK $5,370KY $48.98
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.