How much rates vary
Facilitymedian $525 · 10th to 90th $316 to $1,072Professionalmedian $513 · 10th to 90th $269 to $724
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 $5,128.61 Median $11,748.98 Typical High $24,547.09 | Facility | None | $5,128.61 | $11,748.98 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $380.19 | Professional | None | $338.84 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,659.59 | Facility | None | $977.24 | $1,412.54 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $724.44 | Professional | None | $275.42 | $436.52 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $616.60 | Professional | None | $436.52 | $512.86 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $24,547.09 | Facility | None | $467.74 | $758.58 | $24,547.09 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $616.60 | Professional | None | $380.19 | $416.87 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $549.54 | Facility | None | $323.59 | $524.81 | $549.54 |
Providence Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $1,445.44 | Facility | None | $371.54 | $691.83 | $1,445.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $512.86 Typical High $741.31 | Professional | None | $79.43 | $512.86 | $741.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $724.44 | Professional | None | $524.81 | $549.54 | $724.44 |
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 $354.81 Median $501.19 Typical High $831.76 | Professional | None | $354.81 | $501.19 | $831.76 |
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 $154.88 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $234.42 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.90 | $38.02 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $75.86 | $75.86 | $75.86 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $281.84 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $38.02 |
Where Oregon sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 9th of 51
$513
AK $1,096UT $229
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.