How much rates vary
Facilitymedian $302 · 10th to 90th $182 to $741Professionalmedian $214 · 10th to 90th $110 to $380
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 $162.18 Median $3,235.94 Typical High $6,606.93 | Facility | None | $162.18 | $3,235.94 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $169.82 Typical High $263.03 | Professional | None | $77.62 | $169.82 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $912.01 | Facility | None | $51.29 | $95.50 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $223.87 Typical High $407.38 | Professional | None | $120.23 | $223.87 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $446.68 | Professional | None | $151.36 | $213.80 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $389.05 Typical High $5,011.87 | Facility | None | $151.36 | $389.05 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $107.15 Median $199.53 Typical High $363.08 | Professional | None | $107.15 | $199.53 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $331.13 | Facility | None | $186.21 | $302.00 | $331.13 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $660.69 | Facility | None | $107.15 | $269.15 | $660.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $208.93 Typical High $407.38 | Professional | None | $79.43 | $208.93 | $407.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $269.15 Typical High $331.13 | Professional | None | $158.49 | $269.15 | $331.13 |
United Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $4,897.79 | Facility | None | $151.36 | $275.42 | $4,897.79 |
United Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $416.87 | Professional | None | $123.03 | $229.09 | $416.87 |
11 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 $58.88 Median $58.88 Typical High $120.23 | Professional | 52 · Reduced service | $58.88 | $58.88 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $47.86 | Professional | 53 · Discontinued | $23.44 | $23.44 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $87.10 Typical High $181.97 | Professional | 54 · Surgery only | $87.10 | $87.10 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $36.31 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $23.99 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $23.99 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $363.08 Typical High $660.69 | Professional | 50 · Both sides | $158.49 | $363.08 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $120.23 | Professional | 52 · Reduced service | $58.88 | $58.88 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $47.86 | Professional | 53 · Discontinued | $23.44 | $23.44 | $47.86 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $87.10 Typical High $181.97 | Professional | 54 · Surgery only | $87.10 | $87.10 | $181.97 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $36.31 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $36.31 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $15.14 Typical High $23.99 | Professional | 56 · Pre-op care only | $11.75 | $15.14 | $23.99 |
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· 5th of 51
$240
AK $417VA $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.