How much rates vary
Facilitymedian $1,514 · 10th to 90th $977 to $4,677Professionalmedian $1,479 · 10th to 90th $776 to $2,138
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 $776.25 Median $1,096.48 Typical High $1,096.48 | Professional | None | $776.25 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $2,137.96 | Facility | None | $549.54 | $870.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,137.96 | Professional | None | $812.83 | $1,258.93 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,258.93 | $1,513.56 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $7,943.28 | Facility | None | $1,348.96 | $2,454.71 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,202.26 | $1,905.46 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $1,621.81 | Facility | None | $954.99 | $1,513.56 | $1,621.81 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $1,412.54 Typical High $2,454.71 | Facility | None | $691.83 | $1,412.54 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,479.11 Typical High $2,187.76 | Professional | None | $79.43 | $1,479.11 | $2,187.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,513.56 | $1,584.89 | $2,089.30 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $5,128.61 Typical High $25,118.86 | Facility | None | $2,691.53 | $5,128.61 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,479.11 | $2,398.83 |
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 $457.09 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $457.09 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $181.97 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $676.08 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $134.90 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $91.20 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Where Oregon sits
The same service costs 4.6 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.
Physician feeFacility fee
AK $9,843KY $2,122
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.