How much rates vary
Facilitymedian $65 · 10th to 90th $40 to $741Professionalmedian $51 · 10th to 90th $33 to $81
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 $20.89 Median $34.67 Typical High $45.71 | Professional | None | $20.89 | $34.67 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $758.58 Typical High $1,071.52 | Facility | None | $537.03 | $758.58 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $85.11 | Professional | None | $34.67 | $47.86 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $81.28 | Professional | None | $39.81 | $53.70 | $81.28 |
Moda Health Setting Facility Modifier None Typical Low $45.71 Median $83.18 Typical High $7,943.28 | Facility | None | $45.71 | $83.18 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $25.70 Median $41.69 Typical High $66.07 | Professional | None | $25.70 | $41.69 | $66.07 |
Pacific Source Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $66.07 | Facility | None | $39.81 | $64.57 | $66.07 |
Providence Setting Facility Modifier None Typical Low $33.88 Median $70.79 Typical High $1,023.29 | Facility | None | $33.88 | $70.79 | $1,023.29 |
Providence Setting Professional Modifier None Typical Low $38.90 Median $61.66 Typical High $83.18 | Professional | None | $38.90 | $61.66 | $83.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $74.13 | Professional | None | $46.77 | $61.66 | $74.13 |
United Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $4,897.79 | Facility | None | $151.36 | $275.42 | $4,897.79 |
United Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $93.33 | Professional | None | $38.02 | $58.88 | $93.33 |
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 $13.80 Median $17.38 Typical High $22.91 | Professional | 52 · Reduced service | $13.80 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.92 Typical High $9.12 | Professional | 53 · Discontinued | $5.50 | $6.92 | $9.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $25.70 Typical High $34.67 | Professional | 54 · Surgery only | $20.89 | $25.70 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $5.13 Typical High $6.92 | Professional | 55 · Aftercare only | $4.17 | $5.13 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $3.47 Typical High $4.57 | Professional | 56 · Pre-op care only | $2.75 | $3.47 | $4.57 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $17.38 Typical High $22.91 | Professional | 52 · Reduced service | $13.80 | $17.38 | $22.91 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.92 Typical High $9.12 | Professional | 53 · Discontinued | $5.50 | $6.92 | $9.12 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $25.70 Typical High $34.67 | Professional | 54 · Surgery only | $20.89 | $25.70 | $34.67 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $5.13 Typical High $6.92 | Professional | 55 · Aftercare only | $4.17 | $5.13 | $6.92 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $3.47 Typical High $4.57 | Professional | 56 · Pre-op care only | $2.75 | $3.47 | $4.57 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$56.23
AK $100NJ $28.84
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.