How much rates vary
Facilitymedian $269 · 10th to 90th $155 to $1,820Professionalmedian $200 · 10th to 90th $98 to $339
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 $81.28 Median $128.82 Typical High $218.78 | Professional | None | $81.28 | $128.82 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $162.18 Typical High $660.69 | Facility | None | $128.82 | $162.18 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $380.19 | Professional | None | $128.82 | $208.93 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $354.81 | Professional | None | $144.54 | $194.98 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $181.97 Median $338.84 Typical High $7,943.28 | Facility | None | $181.97 | $338.84 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $93.33 Median $162.18 Typical High $281.84 | Professional | None | $93.33 | $162.18 | $281.84 |
Pacific Source Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $288.40 | Facility | None | $158.49 | $263.03 | $288.40 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $676.08 | Facility | None | $128.82 | $181.97 | $676.08 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $208.93 Typical High $363.08 | Professional | None | $79.43 | $208.93 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,819.70 | $2,454.71 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $295.12 | Professional | None | $177.83 | $269.15 | $295.12 |
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 $138.04 Median $239.88 Typical High $389.05 | Professional | None | $138.04 | $239.88 | $389.05 |
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 $58.88 Median $63.10 Typical High $102.33 | Professional | 52 · Reduced service | $58.88 | $63.10 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $40.74 | Professional | 53 · Discontinued | $23.44 | $25.70 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $95.50 Typical High $154.88 | Professional | 54 · Surgery only | $87.10 | $95.50 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.05 Typical High $30.90 | Professional | 55 · Aftercare only | $17.38 | $19.05 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.88 Typical High $20.42 | Professional | 56 · Pre-op care only | $11.75 | $12.88 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $63.10 Typical High $102.33 | Professional | 52 · Reduced service | $58.88 | $63.10 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $40.74 | Professional | 53 · Discontinued | $23.44 | $25.70 | $40.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $95.50 Typical High $154.88 | Professional | 54 · Surgery only | $87.10 | $95.50 | $154.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.05 Typical High $30.90 | Professional | 55 · Aftercare only | $17.38 | $19.05 | $30.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.88 Typical High $20.42 | Professional | 56 · Pre-op care only | $11.75 | $12.88 | $20.42 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 5th of 51
$224
AK $372FL $117
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.