How much rates vary
Facilitymedian $263 · 10th to 90th $162 to $347Professionalmedian $214 · 10th to 90th $148 to $347
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 $128.82 Median $147.91 Typical High $199.53 | Professional | None | $128.82 | $147.91 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $186.21 Typical High $263.03 | Facility | None | $104.71 | $186.21 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $354.81 | Professional | None | $147.91 | $213.80 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $389.05 | Professional | None | $190.55 | $263.03 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $389.05 | Facility | None | $169.82 | $257.04 | $389.05 |
Moda Health Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $302.00 | Professional | None | $147.91 | $199.53 | $302.00 |
Pacific Source Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $288.40 | Facility | None | $162.18 | $269.15 | $288.40 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $338.84 | Facility | None | $141.25 | $204.17 | $338.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $223.87 Typical High $354.81 | Professional | None | $79.43 | $223.87 | $354.81 |
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 $204.17 Median $275.42 Typical High $302.00 | Professional | None | $204.17 | $275.42 | $302.00 |
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 $154.88 Median $229.09 Typical High $380.19 | Professional | None | $154.88 | $229.09 | $380.19 |
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 $72.44 Median $74.13 Typical High $100.00 | Professional | 52 · Reduced service | $72.44 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $29.51 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $22.39 Typical High $30.20 | Professional | 55 · Aftercare only | $21.88 | $22.39 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.79 Typical High $19.95 | Professional | 56 · Pre-op care only | $14.45 | $14.79 | $19.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $74.13 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $29.51 | $39.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $30.20 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $30.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $19.95 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $19.95 |
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 4.0 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
$224
AK $437FL $110
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.