How much rates vary
Facilitymedian $145 · 10th to 90th $87 to $363Professionalmedian $112 · 10th to 90th $76 to $182
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 $63.10 Median $83.18 Typical High $107.15 | Professional | None | $63.10 | $83.18 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $141.25 | Facility | None | $79.43 | $102.33 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $186.21 | Professional | None | $79.43 | $114.82 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $141.25 Typical High $204.17 | Professional | None | $102.33 | $141.25 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $213.80 | Facility | None | $107.15 | $154.88 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $165.96 | Professional | None | $75.86 | $107.15 | $165.96 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $154.88 | Facility | None | $89.13 | $144.54 | $154.88 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $194.98 | Facility | None | $79.43 | $109.65 | $194.98 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $186.21 | Professional | None | $79.43 | $123.03 | $186.21 |
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 $104.71 Median $147.91 Typical High $162.18 | Professional | None | $104.71 | $147.91 | $162.18 |
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 $83.18 Median $123.03 Typical High $204.17 | Professional | None | $83.18 | $123.03 | $204.17 |
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 $38.02 Median $38.02 Typical High $53.70 | Professional | 52 · Reduced service | $38.02 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $21.38 | Professional | 53 · Discontinued | $15.49 | $15.49 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $16.22 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $53.70 | Professional | 52 · Reduced service | $38.02 | $38.02 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $21.38 | Professional | 53 · Discontinued | $15.49 | $15.49 | $21.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $16.22 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $10.72 |
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 3.5 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· 9th of 51
$120
AK $219FL $63.10
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.