How much rates vary
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 $8,317.64 Typical High $17,378.01 | Facility | None | $5,128.61 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $1,737.80 Typical High $2,951.21 | Professional | None | $169.82 | $1,737.80 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $5,888.44 Typical High $7,943.28 | Facility | None | $2,398.83 | $5,888.44 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $524.81 Typical High $4,786.30 | Professional | None | $229.09 | $524.81 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $3,981.07 | Professional | None | $257.04 | $389.05 | $3,981.07 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $4,466.84 Typical High $17,378.01 | Facility | None | $331.13 | $4,466.84 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $190.55 Median $1,819.70 Typical High $3,467.37 | Professional | None | $190.55 | $1,819.70 | $3,467.37 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $3,801.89 | Facility | None | $2,187.76 | $3,162.28 | $3,801.89 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $5,248.07 Typical High $7,943.28 | Facility | None | $389.05 | $5,248.07 | $7,943.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $436.52 Typical High $4,677.35 | Professional | None | $79.43 | $436.52 | $4,677.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $16,218.10 Median $22,908.68 Typical High $27,542.29 | Facility | None | $16,218.10 | $22,908.68 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $4,466.84 | Professional | None | $302.00 | $537.03 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $25,118.86 | Facility | None | $1,548.82 | $2,691.53 | $25,118.86 |
United Setting Professional Modifier None Typical Low $263.03 Median $1,445.44 Typical High $5,128.61 | Professional | None | $263.03 | $1,445.44 | $5,128.61 |
3 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 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $2,238.72 | Professional | 54 · Surgery only | $173.78 | $173.78 | $2,238.72 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $2,238.72 | Professional | 54 · Surgery only | $173.78 | $173.78 | $2,238.72 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $24,547.09 Median $34,673.69 Typical High $40,738.03 | Facility | 50 · Both sides | $24,547.09 | $34,673.69 | $40,738.03 |
Where Oregon sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 4th of 51
$2,754
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.