How much rates vary
Facilitymedian $117 · 10th to 90th $71 to $832Professionalmedian $91 · 10th to 90th $58 to $151
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $100.00 | Professional | None | $41.69 | $63.10 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $660.69 | Facility | None | $69.18 | $87.10 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $97.72 Typical High $158.49 | Professional | None | $58.88 | $97.72 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $169.82 | Professional | None | $72.44 | $107.15 | $169.82 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $6,606.93 | Facility | None | $83.18 | $128.82 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $154.88 | Professional | None | $54.95 | $91.20 | $154.88 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $114.82 Typical High $128.82 | Facility | None | $70.79 | $114.82 | $128.82 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $660.69 | Facility | None | $69.18 | $97.72 | $660.69 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $158.49 | Professional | None | $66.07 | $97.72 | $158.49 |
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 $77.62 Median $120.23 Typical High $131.83 | Professional | None | $77.62 | $120.23 | $131.83 |
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 $61.66 Median $95.50 Typical High $165.96 | Professional | None | $61.66 | $95.50 | $165.96 |
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 $28.84 Median $28.84 Typical High $45.71 | Professional | 52 · Reduced service | $28.84 | $28.84 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $18.20 | Professional | 53 · Discontinued | $11.48 | $11.48 | $18.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $43.65 Typical High $67.61 | Professional | 54 · Surgery only | $43.65 | $43.65 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $13.49 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $9.12 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $9.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $45.71 | Professional | 52 · Reduced service | $28.84 | $28.84 | $45.71 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $18.20 | Professional | 53 · Discontinued | $11.48 | $11.48 | $18.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $43.65 Typical High $67.61 | Professional | 54 · Surgery only | $43.65 | $43.65 | $67.61 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $13.49 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $13.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $9.12 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $9.12 |
Where Oregon sits
The same service costs 3.5 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· 6th of 51
$97.72
AK $178FL $51.29
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.