How much rates vary
Facilitymedian $562 · 10th to 90th $200 to $5,129Professionalmedian $245 · 10th to 90th $93 to $794
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 $141.25 Median $4,786.30 Typical High $7,943.28 | Facility | None | $141.25 | $4,786.30 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $208.93 Typical High $478.63 | Professional | None | $77.62 | $208.93 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $269.15 Typical High $851.14 | Professional | None | $114.82 | $269.15 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $851.14 | Professional | None | $141.25 | $199.53 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $588.84 Typical High $7,585.78 | Facility | None | $141.25 | $588.84 | $7,585.78 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $239.88 Typical High $630.96 | Professional | None | $85.11 | $239.88 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $489.78 Typical High $588.84 | Facility | None | $331.13 | $489.78 | $588.84 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $489.78 Typical High $724.44 | Facility | None | $144.54 | $489.78 | $724.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $239.88 Typical High $831.76 | Professional | None | $79.43 | $239.88 | $831.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $371.54 Typical High $758.58 | Professional | None | $154.88 | $371.54 | $758.58 |
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 $97.72 Median $281.84 Typical High $812.83 | Professional | None | $97.72 | $281.84 | $812.83 |
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 $51.29 Median $85.11 Typical High $239.88 | Professional | 52 · Reduced service | $51.29 | $85.11 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $33.88 Typical High $95.50 | Professional | 53 · Discontinued | $20.42 | $33.88 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $128.82 Typical High $354.81 | Professional | 54 · Surgery only | $77.62 | $128.82 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $25.70 Typical High $70.79 | Professional | 55 · Aftercare only | $15.49 | $25.70 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $16.98 Typical High $47.86 | Professional | 56 · Pre-op care only | $10.23 | $16.98 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $66.07 Typical High $239.88 | Professional | 52 · Reduced service | $51.29 | $66.07 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.30 Typical High $95.50 | Professional | 53 · Discontinued | $20.42 | $26.30 | $95.50 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $100.00 Typical High $354.81 | Professional | 54 · Surgery only | $77.62 | $100.00 | $354.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.95 Typical High $70.79 | Professional | 55 · Aftercare only | $15.49 | $19.95 | $70.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $13.18 Typical High $47.86 | Professional | 56 · Pre-op care only | $10.23 | $13.18 | $47.86 |
Where Oregon sits
The same service costs 4.2 times more in Washington 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· 20th of 51
$275
WA $447VA $107
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.