How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,023 to $14,454Professionalmedian $661 · 10th to 90th $79 to $1,288
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 $8,317.64 Typical High $17,378.01 | Facility | None | $5,128.61 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
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 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $7,943.28 Typical High $17,378.01 | Facility | None | $724.44 | $7,943.28 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $5,370.32 | Facility | None | $1,412.54 | $1,412.54 | $5,370.32 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $3,467.37 Typical High $5,011.87 | Facility | None | $741.31 | $3,467.37 | $5,011.87 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $79.43 | Professional | None | $70.79 | $79.43 | $79.43 |
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 $1,230.27 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,230.27 | $1,288.25 | $1,288.25 |
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 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Where Oregon sits
The same service costs 74.1 times more in Oklahoma than in Montana. 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· 25th of 51
$1,288
OK $5,888MT $79.43
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.