How much rates vary
Facilitymedian $178 · 10th to 90th $107 to $1,905Professionalmedian $141 · 10th to 90th $83 to $245
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 $102.33 Median $4,265.80 Typical High $7,943.28 | Facility | None | $102.33 | $4,265.80 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $158.49 | Professional | None | $63.10 | $95.50 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $691.83 | Facility | None | $97.72 | $128.82 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $245.47 | Professional | None | $83.18 | $147.91 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $263.03 | Professional | None | $102.33 | $144.54 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $954.99 Typical High $5,754.40 | Facility | None | $120.23 | $954.99 | $5,754.40 |
Moda Health Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $269.15 | Professional | None | $81.28 | $141.25 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $199.53 | Facility | None | $109.65 | $173.78 | $199.53 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $660.69 | Facility | None | $79.43 | $131.83 | $660.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $251.19 | Professional | None | $79.43 | $147.91 | $251.19 |
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 $112.20 Median $186.21 Typical High $199.53 | Professional | None | $112.20 | $186.21 | $199.53 |
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 $89.13 Median $144.54 Typical High $257.04 | Professional | None | $89.13 | $144.54 | $257.04 |
12 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 $41.69 Median $41.69 Typical High $70.79 | Professional | 52 · Reduced service | $41.69 | $41.69 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $28.18 | Professional | 53 · Discontinued | $16.60 | $16.98 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | 54 · Surgery only | $63.10 | $63.10 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $14.13 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $14.13 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $288.40 Typical High $478.63 | Professional | 50 · Both sides | $141.25 | $288.40 | $478.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $70.79 | Professional | 52 · Reduced service | $41.69 | $41.69 | $70.79 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $28.18 | Professional | 53 · Discontinued | $16.60 | $16.60 | $28.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | 54 · Surgery only | $63.10 | $63.10 | $107.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $21.38 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $21.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $14.13 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $14.13 |
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 3.7 times more in Alaska than in Kentucky. 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· 6th of 51
$145
AK $275KY $74.13
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.