How much rates vary
Facilitymedian $100 · 10th to 90th $59 to $224Professionalmedian $78 · 10th to 90th $48 to $123
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 $34.67 Median $47.86 Typical High $74.13 | Professional | None | $34.67 | $47.86 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $831.76 | Facility | None | $51.29 | $95.50 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $131.83 | Professional | None | $50.12 | $83.18 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | None | $61.66 | $89.13 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $123.03 | Facility | None | $52.48 | $81.28 | $123.03 |
Moda Health Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $112.20 | Professional | None | $47.86 | $72.44 | $112.20 |
Pacific Source Setting Facility Modifier None Typical Low $58.88 Median $97.72 Typical High $109.65 | Facility | None | $58.88 | $97.72 | $109.65 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $144.54 | Facility | None | $50.12 | $93.33 | $144.54 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $131.83 | Professional | None | $56.23 | $81.28 | $131.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $245.47 | Facility | None | $162.18 | $213.80 | $245.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $109.65 | Professional | None | $66.07 | $102.33 | $109.65 |
United Setting Facility Modifier None Typical Low $151.36 Median $257.04 Typical High $4,897.79 | Facility | None | $151.36 | $257.04 | $4,897.79 |
United Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $138.04 | Professional | None | $50.12 | $81.28 | $138.04 |
8 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 $23.99 Median $23.99 Typical High $37.15 | Professional | 52 · Reduced service | $23.99 | $23.99 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $14.79 | Professional | 53 · Discontinued | $9.55 | $9.55 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $10.96 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $7.41 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | 52 · Reduced service | $23.99 | $23.99 | $37.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $14.79 | Professional | 53 · Discontinued | $9.55 | $9.55 | $14.79 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $10.96 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $10.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $7.41 |
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· 6th of 51
$81.28
AK $148KY $39.81
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.