How much rates vary
Facilitymedian $525 · 10th to 90th $302 to $4,467Professionalmedian $331 · 10th to 90th $170 to $724
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $416.87 | Professional | None | $131.83 | $213.80 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,621.81 Typical High $2,137.96 | Facility | None | $891.25 | $1,621.81 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $331.13 Typical High $758.58 | Professional | None | $173.78 | $331.13 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $660.69 | Professional | None | $199.53 | $302.00 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $602.56 Typical High $7,943.28 | Facility | None | $251.19 | $602.56 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $524.81 | Professional | None | $169.82 | $302.00 | $524.81 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $537.03 | Facility | None | $288.40 | $467.74 | $537.03 |
Providence Setting Facility Modifier None Typical Low $288.40 Median $1,288.25 Typical High $2,137.96 | Facility | None | $288.40 | $1,288.25 | $2,137.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $323.59 Typical High $741.31 | Professional | None | $79.43 | $323.59 | $741.31 |
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 $229.09 Median $389.05 Typical High $724.44 | Professional | None | $229.09 | $389.05 | $724.44 |
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 $194.98 Median $398.11 Typical High $758.58 | Professional | None | $194.98 | $398.11 | $758.58 |
10 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 $87.10 Median $87.10 Typical High $208.93 | Professional | 52 · Reduced service | $87.10 | $87.10 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $85.11 | Professional | 53 · Discontinued | $34.67 | $34.67 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $316.23 | Professional | 54 · Surgery only | $131.83 | $131.83 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $63.10 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $41.69 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $41.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $208.93 | Professional | 52 · Reduced service | $87.10 | $87.10 | $208.93 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $85.11 | Professional | 53 · Discontinued | $34.67 | $34.67 | $85.11 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $316.23 | Professional | 54 · Surgery only | $131.83 | $131.83 | $316.23 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $63.10 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $63.10 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $41.69 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $41.69 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 8th of 51
$417
AK $708KY $182
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.