How much rates vary
Facilitymedian $178 · 10th to 90th $123 to $295Professionalmedian $158 · 10th to 90th $107 to $257
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 $107.15 Median $107.15 Typical High $151.36 | Professional | None | $107.15 | $107.15 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $186.21 | Facility | None | $95.50 | $134.90 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $162.18 Typical High $257.04 | Professional | None | $109.65 | $162.18 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $295.12 | Professional | None | $131.83 | $194.98 | $295.12 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $173.78 Typical High $281.84 | Facility | None | $117.49 | $173.78 | $281.84 |
Moda Health Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $223.87 | Professional | None | $107.15 | $151.36 | $223.87 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $177.83 Typical High $213.80 | Facility | None | $123.03 | $177.83 | $213.80 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $144.54 Typical High $251.19 | Facility | None | $100.00 | $144.54 | $251.19 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $162.18 Typical High $257.04 | Professional | None | $79.43 | $162.18 | $257.04 |
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 $147.91 Median $208.93 Typical High $223.87 | Professional | None | $147.91 | $208.93 | $223.87 |
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 $114.82 Median $169.82 Typical High $288.40 | Professional | None | $114.82 | $169.82 | $288.40 |
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 $53.70 Median $53.70 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | 53 · Discontinued | $21.38 | $21.38 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $22.39 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $53.70 | $75.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | 53 · Discontinued | $21.38 | $21.38 | $30.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $22.39 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $22.39 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $15.14 |
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 3.8 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
$162
AK $309FL $81.28
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.