How much rates vary
Facilitymedian $302 · 10th to 90th $115 to $4,898Professionalmedian $151 · 10th to 90th $69 to $407
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 $85.11 Median $363.08 Typical High $6,606.93 | Facility | None | $85.11 | $363.08 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $134.90 Typical High $288.40 | Professional | None | $47.86 | $134.90 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $165.96 Typical High $446.68 | Professional | None | $70.79 | $165.96 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $416.87 | Professional | None | $87.10 | $123.03 | $416.87 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $489.78 Typical High $5,011.87 | Facility | None | $107.15 | $489.78 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $53.70 Median $158.49 Typical High $338.84 | Professional | None | $53.70 | $158.49 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $309.03 | Facility | None | $173.78 | $288.40 | $309.03 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $245.47 Typical High $389.05 | Facility | None | $87.10 | $245.47 | $389.05 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $144.54 Typical High $436.52 | Professional | None | $79.43 | $144.54 | $436.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $407.38 | Professional | None | $93.33 | $194.98 | $407.38 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $4,897.79 Typical High $6,165.95 | Facility | None | $1,122.02 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None Typical Low $63.10 Median $158.49 Typical High $426.58 | Professional | None | $63.10 | $158.49 | $426.58 |
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 $30.90 Median $52.48 Typical High $123.03 | Professional | 52 · Reduced service | $30.90 | $52.48 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $20.89 Typical High $48.98 | Professional | 53 · Discontinued | $12.30 | $20.89 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $77.62 Typical High $181.97 | Professional | 54 · Surgery only | $46.77 | $77.62 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $15.85 Typical High $36.31 | Professional | 55 · Aftercare only | $9.33 | $15.85 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $10.47 Typical High $24.55 | Professional | 56 · Pre-op care only | $6.17 | $10.47 | $24.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $40.74 Typical High $123.03 | Professional | 52 · Reduced service | $30.90 | $40.74 | $123.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.22 Typical High $48.98 | Professional | 53 · Discontinued | $12.30 | $16.22 | $48.98 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $60.26 Typical High $181.97 | Professional | 54 · Surgery only | $46.77 | $60.26 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.30 Typical High $36.31 | Professional | 55 · Aftercare only | $9.33 | $12.30 | $36.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.13 Typical High $24.55 | Professional | 56 · Pre-op care only | $6.17 | $8.13 | $24.55 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in Virginia. 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· 10th of 51
$174
AK $257VA $66.07
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.