How much rates vary
Facilitymedian $145 · 10th to 90th $89 to $389Professionalmedian $110 · 10th to 90th $71 to $178
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 $69.18 Median $77.62 Typical High $107.15 | Professional | None | $69.18 | $77.62 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $165.96 | Facility | None | $93.33 | $120.23 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $190.55 | Professional | None | $74.13 | $120.23 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $208.93 | Professional | None | $93.33 | $134.90 | $208.93 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $141.25 Typical High $7,943.28 | Facility | None | $97.72 | $141.25 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $162.18 | Professional | None | $69.18 | $107.15 | $162.18 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $158.49 | Facility | None | $89.13 | $144.54 | $158.49 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $186.21 | Facility | None | $75.86 | $123.03 | $186.21 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $190.55 | Professional | None | $74.13 | $120.23 | $190.55 |
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 $95.50 Median $144.54 Typical High $158.49 | Professional | None | $95.50 | $144.54 | $158.49 |
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 $74.13 Median $120.23 Typical High $204.17 | Professional | None | $74.13 | $120.23 | $204.17 |
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 $33.88 Median $33.88 Typical High $53.70 | Professional | 52 · Reduced service | $33.88 | $33.88 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $13.80 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | 54 · Surgery only | $51.29 | $51.29 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $15.85 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $53.70 | Professional | 52 · Reduced service | $33.88 | $33.88 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $13.80 | $21.38 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | 54 · Surgery only | $51.29 | $51.29 | $79.43 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $15.85 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $15.85 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $10.72 |
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 3.6 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· 6th of 51
$120
AK $204KY $56.23
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.