How much rates vary
Facilitymedian $316 · 10th to 90th $191 to $759Professionalmedian $155 · 10th to 90th $69 to $457
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 $91.20 Median $3,235.94 Typical High $7,943.28 | Facility | None | $91.20 | $3,235.94 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $144.54 Typical High $257.04 | Professional | None | $48.98 | $144.54 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $2,511.89 | Facility | None | $660.69 | $1,023.29 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $162.18 Typical High $489.78 | Professional | None | $69.18 | $162.18 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $407.38 | Professional | None | $79.43 | $120.23 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $363.08 Typical High $6,606.93 | Facility | None | $85.11 | $363.08 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $63.10 Median $154.88 Typical High $331.13 | Professional | None | $63.10 | $154.88 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $316.23 Typical High $338.84 | Facility | None | $199.53 | $316.23 | $338.84 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $275.42 Typical High $1,023.29 | Facility | None | $58.88 | $275.42 | $1,023.29 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $141.25 Typical High $478.63 | Professional | None | $70.79 | $141.25 | $478.63 |
Regence BlueShield Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $457.09 | Professional | None | $93.33 | $169.82 | $457.09 |
United Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $4,897.79 | Facility | None | $151.36 | $275.42 | $4,897.79 |
United Setting Professional Modifier None Typical Low $85.11 Median $218.78 Typical High $478.63 | Professional | None | $85.11 | $218.78 | $478.63 |
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 $34.67 Median $34.67 Typical High $128.82 | Professional | 52 · Reduced service | $34.67 | $34.67 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $51.29 | Professional | 53 · Discontinued | $13.80 | $13.80 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $51.29 Typical High $190.55 | Professional | 54 · Surgery only | $51.29 | $51.29 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $38.90 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $25.70 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $25.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $128.82 | Professional | 52 · Reduced service | $34.67 | $34.67 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $51.29 | Professional | 53 · Discontinued | $13.80 | $13.80 | $51.29 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $51.29 Typical High $190.55 | Professional | 54 · Surgery only | $51.29 | $51.29 | $190.55 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $38.90 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $38.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $25.70 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $25.70 |
Where Oregon sits
The same service costs 13.8 times more in Hawaii than in Louisiana. 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.
Physician feeFacility fee
HI $2,918LA $212
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.