How much rates vary
Facilitymedian $5,623 · 10th to 90th $2,239 to $13,804Professionalmedian $851 · 10th to 90th $339 to $8,511
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 $10,715.19 Typical High $18,620.87 | Facility | None | $5,128.61 | $10,715.19 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $3,235.94 Typical High $5,623.41 | Professional | None | $251.19 | $3,235.94 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $4,677.35 Typical High $6,309.57 | Facility | None | $1,023.29 | $4,677.35 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $2,754.23 Typical High $8,912.51 | Professional | None | $363.08 | $2,754.23 | $8,912.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $630.96 Typical High $7,413.10 | Professional | None | $407.38 | $630.96 | $7,413.10 |
Moda Health Setting Facility Modifier None Typical Low $537.03 Median $8,128.31 Typical High $18,620.87 | Facility | None | $537.03 | $8,128.31 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $281.84 Median $3,467.37 Typical High $6,456.54 | Professional | None | $281.84 | $3,467.37 | $6,456.54 |
Pacific Source Setting Facility Modifier None Typical Low $3,890.45 Median $5,888.44 Typical High $6,918.31 | Facility | None | $3,890.45 | $5,888.44 | $6,918.31 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $4,786.30 Typical High $8,128.31 | Facility | None | $630.96 | $4,786.30 | $8,128.31 |
Providence Setting Professional Modifier None Typical Low $229.09 Median $741.31 Typical High $8,709.64 | Professional | None | $229.09 | $741.31 | $8,709.64 |
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 $489.78 Median $870.96 Typical High $8,317.64 | Professional | None | $489.78 | $870.96 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $426.58 Median $2,754.23 Typical High $9,772.37 | Professional | None | $426.58 | $2,754.23 | $9,772.37 |
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 $186.21 Median $186.21 Typical High $2,818.38 | Professional | 52 · Reduced service | $186.21 | $186.21 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $1,122.02 | Professional | 53 · Discontinued | $74.13 | $74.13 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $4,265.80 | Professional | 54 · Surgery only | $281.84 | $281.84 | $4,265.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $851.14 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $562.34 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $186.21 Typical High $2,818.38 | Professional | 52 · Reduced service | $186.21 | $186.21 | $2,818.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $1,122.02 | Professional | 53 · Discontinued | $75.86 | $75.86 | $1,122.02 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $4,265.80 | Professional | 54 · Surgery only | $281.84 | $281.84 | $4,265.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $851.14 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $851.14 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $562.34 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $562.34 |
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 10.2 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· 2nd of 51
$4,677
AK $5,012NE $490
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.