How much rates vary
Facilitymedian $457 · 10th to 90th $229 to $661Professionalmedian $380 · 10th to 90th $224 to $631
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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $389.05 | Professional | None | $223.87 | $251.19 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $416.87 | Facility | None | $169.82 | $302.00 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $676.08 | Professional | None | $239.88 | $416.87 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $794.33 | Professional | None | $309.03 | $446.68 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $7,943.28 | Facility | None | $316.23 | $436.52 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $575.44 | Professional | None | $223.87 | $363.08 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $562.34 | Facility | None | $288.40 | $467.74 | $562.34 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $588.84 | Facility | None | $229.09 | $323.59 | $588.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $380.19 Typical High $676.08 | Professional | None | $79.43 | $380.19 | $676.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,047.13 | Facility | None | $691.83 | $933.25 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $575.44 | Professional | None | $309.03 | $512.86 | $575.44 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $234.42 Median $398.11 Typical High $707.95 | Professional | None | $234.42 | $398.11 | $707.95 |
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 $112.20 Median $114.82 Typical High $194.98 | Professional | 52 · Reduced service | $112.20 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $45.71 Typical High $77.62 | Professional | 53 · Discontinued | $44.67 | $45.71 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $169.82 Typical High $288.40 | Professional | 54 · Surgery only | $165.96 | $169.82 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.88 Typical High $57.54 | Professional | 55 · Aftercare only | $33.11 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.91 Typical High $38.90 | Professional | 56 · Pre-op care only | $22.39 | $22.91 | $38.90 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | 52 · Reduced service | $112.20 | $112.20 | $194.98 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $77.62 | Professional | 53 · Discontinued | $44.67 | $44.67 | $77.62 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | 54 · Surgery only | $165.96 | $165.96 | $288.40 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $57.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $38.90 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $38.90 |
Where Oregon sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 8th of 51
$389
AK $661MD $182
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.