How much rates vary
Facilitymedian $501 · 10th to 90th $331 to $4,467Professionalmedian $380 · 10th to 90th $219 to $676
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 $302.00 Median $5,128.61 Typical High $8,709.64 | Facility | None | $302.00 | $5,128.61 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $380.19 | Professional | None | $190.55 | $288.40 | $380.19 |
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 $239.88 Median $398.11 Typical High $691.83 | Professional | None | $239.88 | $398.11 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $630.96 | Professional | None | $275.42 | $416.87 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $616.60 Typical High $7,943.28 | Facility | None | $346.74 | $616.60 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $575.44 | Professional | None | $213.80 | $346.74 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $501.19 | Facility | None | $288.40 | $478.63 | $501.19 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $1,380.38 Typical High $2,137.96 | Facility | None | $398.11 | $1,380.38 | $2,137.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $416.87 Typical High $691.83 | Professional | None | $79.43 | $416.87 | $691.83 |
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 $316.23 Median $478.63 Typical High $676.08 | Professional | None | $316.23 | $478.63 | $676.08 |
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 $275.42 Median $446.68 Typical High $741.31 | Professional | None | $275.42 | $446.68 | $741.31 |
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 $123.03 Median $123.03 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $123.03 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $48.98 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $288.40 | Professional | 54 · Surgery only | $186.21 | $186.21 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $57.54 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $38.02 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $123.03 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $48.98 | $75.86 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $288.40 | Professional | 54 · Surgery only | $186.21 | $186.21 | $288.40 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $57.54 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $57.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $38.02 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $38.02 |
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 3.1 times more in Alaska than in New York. 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
$447
AK $794NY $257
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.