How much rates vary
Facilitymedian $692 · 10th to 90th $525 to $7,943Professionalmedian $646 · 10th to 90th $339 to $1,072
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 $588.84 Median $7,943.28 Typical High $17,378.01 | Facility | None | $588.84 | $7,943.28 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $707.95 | Professional | None | $467.74 | $478.63 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,398.83 Typical High $3,162.28 | Facility | None | $1,000.00 | $2,398.83 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $1,023.29 | Professional | None | $407.38 | $549.54 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $794.33 | Professional | None | $562.34 | $660.69 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,737.80 Typical High $17,378.01 | Facility | None | $588.84 | $1,737.80 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $1,096.48 | Professional | None | $478.63 | $588.84 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,047.13 | Facility | None | $426.58 | $660.69 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $2,137.96 Typical High $3,162.28 | Facility | None | $758.58 | $2,137.96 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $660.69 Typical High $1,122.02 | Professional | None | $79.43 | $660.69 | $1,122.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $9,772.37 Typical High $11,220.18 | Facility | None | $6,918.31 | $9,772.37 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $891.25 | Professional | None | $645.65 | $691.83 | $891.25 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $1,174.90 | Professional | None | $467.74 | $660.69 | $1,174.90 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Where Oregon sits
The same service costs 6.1 times more in Oklahoma 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
OK $6,602MT $1,074
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.