How much rates vary
Facilitymedian $468 · 10th to 90th $234 to $832Professionalmedian $347 · 10th to 90th $219 to $589
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $346.74 | Professional | None | $218.78 | $223.87 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $416.87 | Facility | None | $169.82 | $302.00 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $389.05 Typical High $616.60 | Professional | None | $234.42 | $389.05 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $724.44 | Professional | None | $302.00 | $436.52 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $588.84 Typical High $6,606.93 | Facility | None | $316.23 | $588.84 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $537.03 | Professional | None | $218.78 | $346.74 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $512.86 | Facility | None | $275.42 | $467.74 | $512.86 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $616.60 | Facility | None | $223.87 | $323.59 | $616.60 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $380.19 Typical High $616.60 | Professional | None | $79.43 | $380.19 | $616.60 |
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 $302.00 Median $478.63 Typical High $512.86 | Professional | None | $302.00 | $478.63 | $512.86 |
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 $234.42 Median $371.54 Typical High $645.65 | Professional | None | $234.42 | $371.54 | $645.65 |
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 $109.65 Median $109.65 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $109.65 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $263.03 | Professional | 54 · Surgery only | $165.96 | $165.96 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $34.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $109.65 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $109.65 | $173.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $69.18 | Professional | 53 · Discontinued | $43.65 | $43.65 | $69.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $263.03 | Professional | 54 · Surgery only | $165.96 | $165.96 | $263.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $52.48 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $34.67 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in Maryland. 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· 7th of 51
$380
AK $692MD $178
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.