How much rates vary
Facilitymedian $708 · 10th to 90th $501 to $8,913Professionalmedian $661 · 10th to 90th $331 to $1,023
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 $354.81 Median $467.74 Typical High $524.81 | Professional | None | $354.81 | $467.74 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $3,162.28 Typical High $4,365.16 | Facility | None | $1,230.27 | $3,162.28 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $977.24 | Professional | None | $489.78 | $630.96 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $794.33 | Professional | None | $562.34 | $660.69 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $18,620.87 | Facility | None | $660.69 | $2,691.53 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $933.25 | Professional | None | $371.54 | $524.81 | $933.25 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $724.44 | Facility | None | $416.87 | $691.83 | $724.44 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $2,951.21 Typical High $4,365.16 | Facility | None | $776.25 | $2,951.21 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $676.08 Typical High $1,047.13 | Professional | None | $79.43 | $676.08 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,709.64 Median $12,589.25 Typical High $14,454.40 | Facility | None | $8,709.64 | $12,589.25 | $14,454.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $1,071.52 | Professional | None | $691.83 | $724.44 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,230.27 | Professional | None | $524.81 | $758.58 | $1,230.27 |
7 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 $323.59 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $323.59 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $64.57 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $42.66 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $52.48 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,182.57 Median $18,620.87 Typical High $21,877.62 | Facility | 50 · Both sides | $13,182.57 | $18,620.87 | $21,877.62 |
Where Oregon sits
The same service costs 6.7 times more in Oklahoma than in Montana. 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.
Physician feeFacility fee
OK $7,024MT $1,050
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.