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 $199.53 Median $1,737.80 Typical High $4,168.69 | Professional | None | $199.53 | $1,737.80 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $3,801.89 | Facility | None | $2,137.96 | $2,884.03 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $588.84 Typical High $4,786.30 | Professional | None | $257.04 | $588.84 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $3,981.07 | Professional | None | $288.40 | $446.68 | $3,981.07 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $5,128.61 Typical High $17,378.01 | Facility | None | $380.19 | $5,128.61 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $1,737.80 Typical High $4,466.84 | Professional | None | $208.93 | $1,737.80 | $4,466.84 |
Pacific Source Setting Facility Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $3,981.07 | Facility | None | $2,187.76 | $3,162.28 | $3,981.07 |
Providence Setting Facility Modifier None Typical Low $467.74 Median $2,884.03 Typical High $6,025.60 | Facility | None | $467.74 | $2,884.03 | $6,025.60 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $524.81 Typical High $4,677.35 | Professional | None | $79.43 | $524.81 | $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 $338.84 Median $616.60 Typical High $4,570.88 | Professional | None | $338.84 | $616.60 | $4,570.88 |
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 $302.00 Median $1,479.11 Typical High $5,370.32 | Professional | None | $302.00 | $1,479.11 | $5,370.32 |
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 $199.53 Median $199.53 Typical High $2,290.87 | Professional | 54 · Surgery only | $199.53 | $199.53 | $2,290.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $2,290.87 | Professional | 54 · Surgery only | $199.53 | $199.53 | $2,290.87 |
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 10.5 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· 3rd of 51
$2,818
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.