How much rates vary
Facilitymedian $316 · 10th to 90th $182 to $5,012Professionalmedian $204 · 10th to 90th $102 to $427
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 $75.86 Median $128.82 Typical High $245.47 | Professional | None | $75.86 | $128.82 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $208.93 Typical High $457.09 | Professional | None | $107.15 | $208.93 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $416.87 | Professional | None | $131.83 | $186.21 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $346.74 Typical High $7,943.28 | Facility | None | $151.36 | $346.74 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $338.84 | Professional | None | $102.33 | $173.78 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $338.84 | Facility | None | $190.55 | $316.23 | $338.84 |
Providence Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $426.58 | Facility | None | $131.83 | $239.88 | $426.58 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $204.17 Typical High $446.68 | Professional | None | $79.43 | $204.17 | $446.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $407.38 | Professional | None | $141.25 | $239.88 | $407.38 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $4,897.79 Typical High $6,165.95 | Facility | None | $1,122.02 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None Typical Low $95.50 Median $204.17 Typical High $436.52 | Professional | None | $95.50 | $204.17 | $436.52 |
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 $38.90 Median $58.88 Typical High $123.03 | Professional | 52 · Reduced service | $38.90 | $58.88 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $23.44 Typical High $48.98 | Professional | 53 · Discontinued | $15.85 | $23.44 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $89.13 Typical High $181.97 | Professional | 54 · Surgery only | $61.66 | $89.13 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $17.78 Typical High $37.15 | Professional | 55 · Aftercare only | $11.75 | $17.78 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.75 Typical High $24.55 | Professional | 56 · Pre-op care only | $7.94 | $11.75 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $52.48 Typical High $123.03 | Professional | 52 · Reduced service | $38.90 | $52.48 | $123.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $20.89 Typical High $48.98 | Professional | 53 · Discontinued | $15.85 | $20.89 | $48.98 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $79.43 Typical High $181.97 | Professional | 54 · Surgery only | $58.88 | $79.43 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.85 Typical High $37.15 | Professional | 55 · Aftercare only | $11.75 | $15.85 | $37.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.47 Typical High $24.55 | Professional | 56 · Pre-op care only | $7.94 | $10.47 | $24.55 |
Where Oregon sits
The same service costs 2.6 times more in Wisconsin 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· 6th of 51
$219
WI $309FL $120
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.