How much rates vary
Facilitymedian $263 · 10th to 90th $141 to $380Professionalmedian $224 · 10th to 90th $148 to $355
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 $114.82 Median $158.49 Typical High $204.17 | Professional | None | $114.82 | $158.49 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $138.04 Typical High $194.98 | Facility | None | $95.50 | $138.04 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $371.54 | Professional | None | $154.88 | $213.80 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $363.08 | Professional | None | $194.98 | $269.15 | $363.08 |
Moda Health Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $398.11 | Facility | None | $199.53 | $269.15 | $398.11 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $204.17 Typical High $309.03 | Professional | None | $141.25 | $204.17 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $288.40 | Facility | None | $165.96 | $269.15 | $288.40 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $346.74 | Facility | None | $114.82 | $162.18 | $346.74 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $234.42 Typical High $371.54 | Professional | None | $79.43 | $234.42 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $630.96 | Facility | None | $398.11 | $549.54 | $630.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $309.03 | Professional | None | $213.80 | $281.84 | $309.03 |
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 $162.18 Median $239.88 Typical High $389.05 | Professional | None | $162.18 | $239.88 | $389.05 |
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 $74.13 Median $77.62 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $40.74 | Professional | 53 · Discontinued | $29.51 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $23.44 Typical High $30.20 | Professional | 55 · Aftercare only | $22.39 | $23.44 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.85 Typical High $20.42 | Professional | 56 · Pre-op care only | $14.79 | $15.85 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $100.00 | Professional | 52 · Reduced service | $77.62 | $77.62 | $100.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 53 · Discontinued | $31.62 | $31.62 | $40.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $30.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $20.42 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $20.42 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $602.56 Median $831.76 Typical High $933.25 | Facility | 50 · Both sides | $602.56 | $831.76 | $933.25 |
Where Oregon sits
The same service costs 4.3 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· 9th of 51
$224
AK $457KY $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.