How much rates vary
Facilitymedian $178 · 10th to 90th $110 to $302Professionalmedian $138 · 10th to 90th $87 to $229
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 Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $134.90 | Professional | None | $67.61 | $93.33 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $144.54 Typical High $199.53 | Facility | None | $95.50 | $144.54 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $234.42 | Professional | None | $100.00 | $147.91 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $269.15 | Professional | None | $128.82 | $181.97 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $263.03 | Facility | None | $102.33 | $162.18 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $213.80 | Professional | None | $87.10 | $134.90 | $213.80 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $194.98 | Facility | None | $109.65 | $177.83 | $194.98 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $151.36 Typical High $234.42 | Facility | None | $95.50 | $151.36 | $234.42 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $234.42 | Professional | None | $79.43 | $147.91 | $234.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $630.96 | Facility | None | $398.11 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $199.53 | Professional | None | $128.82 | $186.21 | $199.53 |
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 $251.19 | Professional | None | $100.00 | $151.36 | $251.19 |
9 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 $46.77 Median $46.77 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $18.62 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $20.42 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $13.49 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $13.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $46.77 | $67.61 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $18.62 | $26.92 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $20.42 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $20.42 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $13.49 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $13.49 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $602.56 Median $831.76 Typical High $933.25 | Facility | 50 · Both sides | $602.56 | $831.76 | $933.25 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$148
AK $275KY $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.