How much rates vary
Facilitymedian $288 · 10th to 90th $178 to $4,467Professionalmedian $191 · 10th to 90th $93 to $398
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 $125.89 Typical High $223.87 | Professional | None | $75.86 | $125.89 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $1,905.46 | Facility | None | $660.69 | $1,412.54 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $407.38 | Professional | None | $95.50 | $190.55 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $398.11 | Professional | None | $114.82 | $173.78 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $323.59 Typical High $7,943.28 | Facility | None | $134.90 | $323.59 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $93.33 Median $177.83 Typical High $323.59 | Professional | None | $93.33 | $177.83 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $302.00 | Facility | None | $173.78 | $281.84 | $302.00 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $1,202.26 Typical High $1,905.46 | Facility | None | $165.96 | $1,202.26 | $1,905.46 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $181.97 Typical High $407.38 | Professional | None | $79.43 | $181.97 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $6,456.54 | Facility | None | $4,073.80 | $5,623.41 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $407.38 | Professional | None | $131.83 | $218.78 | $407.38 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,244.36 | Facility | None | $602.56 | $1,000.00 | $7,244.36 |
United Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $416.87 | Professional | None | $117.49 | $229.09 | $416.87 |
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 $46.77 Median $46.77 Typical High $112.20 | Professional | 52 · Reduced service | $46.77 | $46.77 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $45.71 | Professional | 53 · Discontinued | $18.62 | $18.62 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $169.82 | Professional | 54 · Surgery only | $70.79 | $70.79 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $33.88 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $22.39 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $112.20 | Professional | 52 · Reduced service | $46.77 | $46.77 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $45.71 | Professional | 53 · Discontinued | $18.62 | $18.62 | $45.71 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $169.82 | Professional | 54 · Surgery only | $70.79 | $70.79 | $169.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $33.88 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $33.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $22.39 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $22.39 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,165.95 Median $8,511.38 Typical High $9,772.37 | Facility | 50 · Both sides | $6,165.95 | $8,511.38 | $9,772.37 |
Where Oregon sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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
$240
AK $437HI $89.13
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.