How much rates vary
Facilitymedian $347 · 10th to 90th $166 to $5,012Professionalmedian $186 · 10th to 90th $79 to $479
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 $151.36 Median $4,677.35 Typical High $7,943.28 | Facility | None | $151.36 | $4,677.35 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $144.54 Typical High $281.84 | Professional | None | $61.66 | $144.54 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $208.93 Typical High $524.81 | Professional | None | $93.33 | $208.93 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $489.78 | Professional | None | $114.82 | $162.18 | $489.78 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $354.81 Typical High $6,606.93 | Facility | None | $144.54 | $354.81 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $69.18 Median $169.82 Typical High $380.19 | Professional | None | $69.18 | $169.82 | $380.19 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $331.13 Typical High $380.19 | Facility | None | $190.55 | $331.13 | $380.19 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $426.58 | Facility | None | $114.82 | $288.40 | $426.58 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $190.55 Typical High $512.86 | Professional | None | $79.43 | $190.55 | $512.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $125.89 Median $234.42 Typical High $467.74 | Professional | None | $125.89 | $234.42 | $467.74 |
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 $83.18 Median $186.21 Typical High $501.19 | Professional | None | $83.18 | $186.21 | $501.19 |
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 $41.69 Median $69.18 Typical High $141.25 | Professional | 52 · Reduced service | $41.69 | $69.18 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $27.54 Typical High $57.54 | Professional | 53 · Discontinued | $16.60 | $27.54 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $104.71 Typical High $213.80 | Professional | 54 · Surgery only | $63.10 | $104.71 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $20.89 Typical High $42.66 | Professional | 55 · Aftercare only | $12.59 | $20.89 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $13.80 Typical High $28.18 | Professional | 56 · Pre-op care only | $8.32 | $13.80 | $28.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $53.70 Typical High $141.25 | Professional | 52 · Reduced service | $41.69 | $53.70 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $21.38 Typical High $57.54 | Professional | 53 · Discontinued | $16.60 | $21.38 | $57.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $81.28 Typical High $213.80 | Professional | 54 · Surgery only | $63.10 | $81.28 | $213.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.22 Typical High $42.66 | Professional | 55 · Aftercare only | $12.59 | $16.22 | $42.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.72 Typical High $28.18 | Professional | 56 · Pre-op care only | $8.32 | $10.72 | $28.18 |
Where Oregon sits
The same service costs 3.5 times more in North Carolina than in Indiana. 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· 11th of 51
$200
NC $302IN $85.11
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.