How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,344 to $17,783Professionalmedian $589 · 10th to 90th $245 to $6,918
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 Facility Modifier None Typical Low $5,128.61 Median $13,489.63 Typical High $33,884.42 | Facility | None | $5,128.61 | $13,489.63 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $2,630.27 Typical High $4,570.88 | Professional | None | $229.09 | $2,630.27 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $7,943.28 Typical High $10,715.19 | Facility | None | $1,000.00 | $7,943.28 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $562.34 Typical High $7,244.36 | Professional | None | $245.47 | $562.34 | $7,244.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $6,025.60 | Professional | None | $275.42 | $426.58 | $6,025.60 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $6,918.31 Typical High $33,884.42 | Facility | None | $354.81 | $6,918.31 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $229.09 Median $2,818.38 Typical High $5,248.07 | Professional | None | $229.09 | $2,818.38 | $5,248.07 |
Pacific Source Setting Facility Modifier None Typical Low $2,818.38 Median $4,365.16 Typical High $5,011.87 | Facility | None | $2,818.38 | $4,365.16 | $5,011.87 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $7,079.46 Typical High $10,715.19 | Facility | None | $426.58 | $7,079.46 | $10,715.19 |
Providence Setting Professional Modifier None Typical Low $194.98 Median $501.19 Typical High $7,079.46 | Professional | None | $194.98 | $501.19 | $7,079.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,135.61 Median $20,892.96 Typical High $23,442.29 | Facility | None | $15,135.61 | $20,892.96 | $23,442.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $6,760.83 | Professional | None | $323.59 | $575.44 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $288.40 Median $2,398.83 Typical High $8,128.31 | Professional | None | $288.40 | $2,398.83 | $8,128.31 |
10 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 $123.03 Median $123.03 Typical High $2,238.72 | Professional | 52 · Reduced service | $123.03 | $123.03 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $912.01 | Professional | 53 · Discontinued | $48.98 | $48.98 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $3,388.44 | Professional | 54 · Surgery only | $186.21 | $186.21 | $3,388.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $676.08 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $457.09 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $457.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $2,238.72 | Professional | 52 · Reduced service | $123.03 | $123.03 | $2,238.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $912.01 | Professional | 53 · Discontinued | $48.98 | $48.98 | $912.01 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $3,388.44 | Professional | 54 · Surgery only | $186.21 | $186.21 | $3,388.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $676.08 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $676.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $457.09 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $457.09 |
Where Oregon sits
The same service costs 33.1 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· 3rd of 51
$3,890
AK $5,495KY $166
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.