How much rates vary
Facilitymedian $550 · 10th to 90th $331 to $7,943Professionalmedian $398 · 10th to 90th $200 to $741
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $416.87 | Professional | None | $199.53 | $223.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $3,019.95 Typical High $4,073.80 | Facility | None | $870.96 | $3,019.95 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $758.58 | Professional | None | $208.93 | $389.05 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $707.95 | Professional | None | $239.88 | $363.08 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $588.84 Typical High $13,182.57 | Facility | None | $281.84 | $588.84 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $199.53 Median $416.87 Typical High $588.84 | Professional | None | $199.53 | $416.87 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $562.34 | Facility | None | $323.59 | $524.81 | $562.34 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $2,137.96 Typical High $3,801.89 | Facility | None | $346.74 | $2,137.96 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $380.19 Typical High $758.58 | Professional | None | $79.43 | $380.19 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,120.11 Median $12,882.50 Typical High $15,135.61 | Facility | None | $9,120.11 | $12,882.50 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $467.74 Typical High $741.31 | Professional | None | $269.15 | $467.74 | $741.31 |
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 |
United Setting Professional Modifier None Typical Low $239.88 Median $446.68 Typical High $776.25 | Professional | None | $239.88 | $446.68 | $776.25 |
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 $100.00 Median $100.00 Typical High $208.93 | Professional | 52 · Reduced service | $100.00 | $100.00 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $83.18 | Professional | 53 · Discontinued | $39.81 | $39.81 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $309.03 | Professional | 54 · Surgery only | $147.91 | $147.91 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $61.66 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $41.69 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $208.93 | Professional | 52 · Reduced service | $100.00 | $100.00 | $208.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $83.18 | Professional | 53 · Discontinued | $39.81 | $39.81 | $83.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $309.03 | Professional | 54 · Surgery only | $147.91 | $147.91 | $309.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $61.66 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $61.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $41.69 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $41.69 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,489.63 Median $19,498.45 Typical High $22,908.68 | Facility | 50 · Both sides | $13,489.63 | $19,498.45 | $22,908.68 |
Where Oregon sits
The same service costs 5.8 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· 5th of 51
$457
AK $955HI $166
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.