How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,479 to $11,220Professionalmedian $2,138 · 10th to 90th $79 to $3,631
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 $5,128.61 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,630.78 Typical High $5,011.87 | Facility | None | $1,000.00 | $3,630.78 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $3,548.13 | Professional | None | $1,737.80 | $2,089.30 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,511.89 Typical High $2,818.38 | Professional | None | $1,949.84 | $2,511.89 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $1,737.80 Median $6,918.31 Typical High $17,378.01 | Facility | None | $1,737.80 | $6,918.31 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $977.24 Median $1,737.80 Typical High $1,737.80 | Professional | None | $977.24 | $1,737.80 | $1,737.80 |
Pacific Source Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $2,570.40 | Facility | None | $1,479.11 | $2,290.87 | $2,570.40 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $5,011.87 | Facility | None | $1,000.00 | $3,467.37 | $5,011.87 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,819.70 Typical High $3,715.35 | Professional | None | $79.43 | $1,819.70 | $3,715.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,912.51 Median $12,589.25 Typical High $14,454.40 | Facility | None | $8,912.51 | $12,589.25 | $14,454.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,344.23 | $2,570.40 | $3,162.28 |
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 $1,698.24 Median $2,290.87 Typical High $4,073.80 | Professional | None | $1,698.24 | $2,290.87 | $4,073.80 |
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 $524.81 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $524.81 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $208.93 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $776.25 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $158.49 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $104.71 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $489.78 | $870.96 | $870.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $194.98 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $741.31 | $1,318.26 | $1,318.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $147.91 | $263.03 | $263.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $97.72 | $173.78 | $173.78 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,182.57 Median $18,620.87 Typical High $21,379.62 | Facility | 50 · Both sides | $13,182.57 | $18,620.87 | $21,379.62 |
Where Oregon sits
The same service costs 4.8 times more in Alaska than in New York. 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· 6th of 51
$2,399
AK $5,129NY $1,072
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.