How much rates vary
Facilitymedian $776 · 10th to 90th $417 to $3,631Professionalmedian $263 · 10th to 90th $110 to $1,000
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 $154.88 Median $891.25 Typical High $7,943.28 | Facility | None | $154.88 | $891.25 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $302.00 Typical High $630.96 | Professional | None | $79.43 | $302.00 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $691.83 Typical High $1,071.52 | Facility | None | $549.54 | $691.83 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $346.74 Typical High $1,047.13 | Professional | None | $117.49 | $346.74 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $870.96 | Professional | None | $134.90 | $208.93 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $2,691.53 Typical High $6,025.60 | Facility | None | $190.55 | $2,691.53 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $208.93 Typical High $831.76 | Professional | None | $87.10 | $208.93 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $977.24 | Facility | None | $501.19 | $691.83 | $977.24 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $676.08 Typical High $11,481.54 | Facility | None | $112.20 | $676.08 | $11,481.54 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $239.88 Typical High $1,023.29 | Professional | None | $79.43 | $239.88 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,819.70 | $2,454.71 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $977.24 | Professional | None | $158.49 | $288.40 | $977.24 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $144.54 Median $371.54 Typical High $1,174.90 | Professional | None | $144.54 | $371.54 | $1,174.90 |
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 $58.88 Median $58.88 Typical High $316.23 | Professional | 52 · Reduced service | $58.88 | $58.88 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $125.89 | Professional | 53 · Discontinued | $23.44 | $23.44 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $89.13 Typical High $478.63 | Professional | 54 · Surgery only | $89.13 | $89.13 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $95.50 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $63.10 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $63.10 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $316.23 | Professional | 52 · Reduced service | $58.88 | $58.88 | $316.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $125.89 | Professional | 53 · Discontinued | $23.44 | $23.44 | $125.89 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $89.13 Typical High $478.63 | Professional | 54 · Surgery only | $89.13 | $89.13 | $478.63 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $95.50 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $95.50 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $63.10 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $63.10 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $2,754.23 Median $3,630.78 Typical High $4,168.69 | Facility | 50 · Both sides | $2,754.23 | $3,630.78 | $4,168.69 |
Where Oregon sits
The same service costs 5.5 times more in Connecticut 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.
Physician feeFacility fee
CT $3,114MT $570
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.