How much rates vary
Facilitymedian $120 · 10th to 90th $71 to $1,259Professionalmedian $93 · 10th to 90th $63 to $155
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 $77.62 Median $125.89 Typical High $6,606.93 | Facility | None | $77.62 | $125.89 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $117.49 | Professional | None | $52.48 | $77.62 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $660.69 | Facility | None | $63.10 | $79.43 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $154.88 | Professional | None | $64.57 | $95.50 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $173.78 | Professional | None | $77.62 | $114.82 | $173.78 |
Moda Health Setting Facility Modifier None Typical Low $75.86 Median $436.52 Typical High $3,311.31 | Facility | None | $75.86 | $436.52 | $3,311.31 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $173.78 | Professional | None | $58.88 | $91.20 | $173.78 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $131.83 | Facility | None | $70.79 | $114.82 | $131.83 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $660.69 | Facility | None | $63.10 | $95.50 | $660.69 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $154.88 | Professional | None | $69.18 | $97.72 | $154.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,174.90 | Facility | None | $776.25 | $1,023.29 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $134.90 | Professional | None | $87.10 | $125.89 | $134.90 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $169.82 | Professional | None | $67.61 | $100.00 | $169.82 |
13 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 $31.62 Median $31.62 Typical High $45.71 | Professional | 52 · Reduced service | $31.62 | $31.62 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $18.20 | Professional | 53 · Discontinued | $12.59 | $12.59 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | 54 · Surgery only | $47.86 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $13.49 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $9.12 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $9.12 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $204.17 Typical High $309.03 | Professional | 50 · Both sides | $91.20 | $204.17 | $309.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $45.71 | Professional | 52 · Reduced service | $31.62 | $31.62 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $18.20 | Professional | 53 · Discontinued | $12.59 | $12.59 | $18.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | 54 · Surgery only | $47.86 | $47.86 | $67.61 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $13.49 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $13.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $9.12 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $9.12 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $31.62 Median $104.71 Typical High $186.21 | Professional | 59 · Distinct service | $31.62 | $104.71 | $186.21 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,174.90 Median $1,548.82 Typical High $1,737.80 | Facility | 50 · Both sides | $1,174.90 | $1,548.82 | $1,737.80 |
Where Oregon sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 9th of 51
$100
AK $224FL $53.70
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.