How much rates vary
Facilitymedian $158 · 10th to 90th $93 to $427Professionalmedian $112 · 10th to 90th $59 to $200
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 $70.79 Median $114.82 Typical High $199.53 | Facility | None | $70.79 | $114.82 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $123.03 | Professional | None | $53.70 | $79.43 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $177.83 | Facility | None | $95.50 | $128.82 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $109.65 Typical High $204.17 | Professional | None | $58.88 | $109.65 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $245.47 | Professional | None | $74.13 | $107.15 | $245.47 |
Moda Health Setting Facility Modifier None Typical Low $87.10 Median $251.19 Typical High $588.84 | Facility | None | $87.10 | $251.19 | $588.84 |
Moda Health Setting Professional Modifier None Typical Low $57.54 Median $117.49 Typical High $204.17 | Professional | None | $57.54 | $117.49 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $154.88 Typical High $169.82 | Facility | None | $93.33 | $154.88 | $169.82 |
Providence Setting Facility Modifier None Typical Low $75.86 Median $138.04 Typical High $213.80 | Facility | None | $75.86 | $138.04 | $213.80 |
Providence Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $204.17 | Professional | None | $66.07 | $112.20 | $204.17 |
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 $79.43 Median $134.90 Typical High $169.82 | Professional | None | $79.43 | $134.90 | $169.82 |
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 $63.10 Median $114.82 Typical High $213.80 | Professional | None | $63.10 | $114.82 | $213.80 |
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 $28.84 Median $36.31 Typical High $58.88 | Professional | 52 · Reduced service | $28.84 | $36.31 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $14.45 Typical High $23.44 | Professional | 53 · Discontinued | $11.48 | $14.45 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.72 Typical High $17.38 | Professional | 55 · Aftercare only | $8.71 | $10.72 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.24 Typical High $11.75 | Professional | 56 · Pre-op care only | $5.75 | $7.24 | $11.75 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $58.88 | Professional | 52 · Reduced service | $28.84 | $28.84 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $23.44 | Professional | 53 · Discontinued | $11.48 | $11.48 | $23.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $17.38 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $17.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $11.75 |
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 3.8 times more in Alaska than in Virginia. 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 $214VA $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.