How much rates vary
Facilitymedian $603 · 10th to 90th $339 to $4,467Professionalmedian $437 · 10th to 90th $229 to $832
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $478.63 | Professional | None | $234.42 | $288.40 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,621.81 Typical High $2,137.96 | Facility | None | $660.69 | $1,621.81 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $870.96 | Professional | None | $229.09 | $436.52 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $758.58 | Professional | None | $263.03 | $398.11 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $676.08 Typical High $8,709.64 | Facility | None | $331.13 | $676.08 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $478.63 Typical High $645.65 | Professional | None | $234.42 | $478.63 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $630.96 | Facility | None | $338.84 | $562.34 | $630.96 |
Providence Setting Facility Modifier None Typical Low $380.19 Median $1,380.38 Typical High $2,137.96 | Facility | None | $380.19 | $1,380.38 | $2,137.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $426.58 Typical High $831.76 | Professional | None | $79.43 | $426.58 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,265.80 Median $5,888.44 Typical High $6,918.31 | Facility | None | $4,265.80 | $5,888.44 | $6,918.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $831.76 | Professional | None | $302.00 | $524.81 | $831.76 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $891.25 | Professional | None | $263.03 | $467.74 | $891.25 |
11 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 $117.49 Median $117.49 Typical High $239.88 | Professional | 52 · Reduced service | $117.49 | $117.49 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $95.50 | Professional | 53 · Discontinued | $46.77 | $46.77 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $354.81 | Professional | 54 · Surgery only | $173.78 | $173.78 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $72.44 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $47.86 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $239.88 | Professional | 52 · Reduced service | $117.49 | $117.49 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $95.50 | Professional | 53 · Discontinued | $46.77 | $46.77 | $95.50 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $354.81 | Professional | 54 · Surgery only | $173.78 | $173.78 | $354.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $72.44 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $72.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $47.86 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $47.86 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,456.54 Median $8,912.51 Typical High $10,232.93 | Facility | 50 · Both sides | $6,456.54 | $8,912.51 | $10,232.93 |
Where Oregon sits
The same service costs 3.9 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· 6th of 51
$513
AK $933KY $240
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.