How much rates vary
Facilitymedian $257 · 10th to 90th $155 to $776Professionalmedian $200 · 10th to 90th $126 to $331
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 $102.33 Median $138.04 Typical High $190.55 | Professional | None | $102.33 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $186.21 Typical High $257.04 | Facility | None | $104.71 | $186.21 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $331.13 | Professional | None | $141.25 | $208.93 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $371.54 | Professional | None | $181.97 | $251.19 | $371.54 |
Moda Health Setting Facility Modifier None Typical Low $190.55 Median $275.42 Typical High $6,606.93 | Facility | None | $190.55 | $275.42 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $309.03 | Professional | None | $123.03 | $190.55 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $257.04 Typical High $275.42 | Facility | None | $154.88 | $257.04 | $275.42 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $331.13 | Facility | None | $134.90 | $199.53 | $331.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $208.93 Typical High $331.13 | Professional | None | $79.43 | $208.93 | $331.13 |
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 $190.55 Median $263.03 Typical High $288.40 | Professional | None | $190.55 | $263.03 | $288.40 |
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 $147.91 Median $218.78 Typical High $363.08 | Professional | None | $147.91 | $218.78 | $363.08 |
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 $69.18 Median $69.18 Typical High $95.50 | Professional | 52 · Reduced service | $69.18 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | 53 · Discontinued | $27.54 | $27.54 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $19.05 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $19.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $69.18 Typical High $95.50 | Professional | 52 · Reduced service | $69.18 | $69.18 | $95.50 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | 53 · Discontinued | $27.54 | $27.54 | $38.02 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $28.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $19.05 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $19.05 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,023.29 Median $1,412.54 Typical High $1,584.89 | Facility | 50 · Both sides | $1,023.29 | $1,412.54 | $1,584.89 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$209
AK $398FL $107
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.