How much rates vary
Facilitymedian $4,169 · 10th to 90th $2,138 to $11,220Professionalmedian $4,074 · 10th to 90th $79 to $6,761
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 $1,862.09 Median $3,311.31 Typical High $3,311.31 | Professional | None | $1,862.09 | $3,311.31 | $3,311.31 |
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 $3,311.31 Median $3,981.07 Typical High $6,606.93 | Professional | None | $3,311.31 | $3,981.07 | $6,606.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,630.78 Median $4,677.35 Typical High $5,370.32 | Professional | None | $3,630.78 | $4,677.35 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $3,311.31 Median $6,918.31 Typical High $17,378.01 | Facility | None | $3,311.31 | $6,918.31 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,819.70 Median $3,311.31 Typical High $3,311.31 | Professional | None | $1,819.70 | $3,311.31 | $3,311.31 |
Pacific Source Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $4,786.30 | Facility | None | $2,754.23 | $4,365.16 | $4,786.30 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $3,715.35 Typical High $5,623.41 | Facility | None | $1,000.00 | $3,715.35 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,467.37 Typical High $7,079.46 | Professional | None | $79.43 | $3,467.37 | $7,079.46 |
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 $4,466.84 Median $4,786.30 Typical High $6,025.60 | Professional | None | $4,466.84 | $4,786.30 | $6,025.60 |
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 $3,235.94 Median $4,365.16 Typical High $7,762.47 | Professional | None | $3,235.94 | $4,365.16 | $7,762.47 |
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 $977.24 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $977.24 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $398.11 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $2,454.71 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,479.11 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $295.12 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $199.53 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $933.25 | $1,659.59 | $1,659.59 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $371.54 | $660.69 | $660.69 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $2,454.71 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,380.38 | $2,454.71 | $2,454.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $281.84 | $501.19 | $501.19 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $186.21 | $331.13 | $331.13 |
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 7.1 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· 5th of 51
$4,074
AK $9,772KY $1,380
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.