How much rates vary
Facilitymedian $219 · 10th to 90th $141 to $302Professionalmedian $174 · 10th to 90th $115 to $288
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 $114.82 Typical High $169.82 | Professional | None | $114.82 | $114.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $229.09 | Facility | None | $95.50 | $165.96 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $186.21 Typical High $295.12 | Professional | None | $117.49 | $186.21 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $346.74 | Professional | None | $141.25 | $208.93 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $131.83 Median $199.53 Typical High $295.12 | Facility | None | $131.83 | $199.53 | $295.12 |
Moda Health Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $257.04 | Professional | None | $114.82 | $169.82 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $234.42 Typical High $245.47 | Facility | None | $141.25 | $234.42 | $245.47 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $173.78 Typical High $295.12 | Facility | None | $104.71 | $173.78 | $295.12 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $186.21 Typical High $295.12 | Professional | None | $79.43 | $186.21 | $295.12 |
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 $158.49 Median $229.09 Typical High $251.19 | Professional | None | $158.49 | $229.09 | $251.19 |
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 $123.03 Median $190.55 Typical High $323.59 | Professional | None | $123.03 | $190.55 | $323.59 |
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 $57.54 Median $57.54 Typical High $85.11 | Professional | 52 · Reduced service | $57.54 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $33.88 | Professional | 53 · Discontinued | $22.91 | $22.91 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $25.70 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $16.98 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $16.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | 52 · Reduced service | $57.54 | $57.54 | $85.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $33.88 | Professional | 53 · Discontinued | $22.91 | $22.91 | $33.88 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $25.70 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $25.70 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $16.98 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $16.98 |
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 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
$186
AK $339MD $95.50
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.