How much rates vary
Facilitymedian $178 · 10th to 90th $112 to $427Professionalmedian $145 · 10th to 90th $98 to $240
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 $97.72 Median $97.72 Typical High $141.25 | Professional | None | $97.72 | $97.72 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $213.80 | Facility | None | $95.50 | $154.88 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $245.47 | Professional | None | $104.71 | $154.88 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $288.40 | Professional | None | $134.90 | $190.55 | $288.40 |
Moda Health Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $7,943.28 | Facility | None | $134.90 | $177.83 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $213.80 | Professional | None | $97.72 | $141.25 | $213.80 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $204.17 | Facility | None | $112.20 | $169.82 | $204.17 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $158.49 Typical High $251.19 | Facility | None | $100.00 | $158.49 | $251.19 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $151.36 Typical High $245.47 | Professional | None | $79.43 | $151.36 | $245.47 |
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 $134.90 Median $194.98 Typical High $204.17 | Professional | None | $134.90 | $194.98 | $204.17 |
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 $100.00 Median $151.36 Typical High $257.04 | Professional | None | $100.00 | $151.36 | $257.04 |
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 $47.86 Median $47.86 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | 54 · Surgery only | $72.44 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $20.89 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $14.13 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $14.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $47.86 | $69.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $19.50 | $28.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $72.44 Typical High $104.71 | Professional | 54 · Surgery only | $72.44 | $72.44 | $104.71 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $20.89 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $20.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $14.13 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $14.13 |
Where Oregon sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$155
AK $282FL $74.13
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.