How much rates vary
Facilitymedian $933 · 10th to 90th $646 to $12,303Professionalmedian $891 · 10th to 90th $457 to $1,380
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $691.83 | Professional | None | $457.09 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $9,549.93 Typical High $13,182.57 | Facility | None | $870.96 | $9,549.93 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,230.27 | Professional | None | $630.96 | $831.76 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,122.02 | Professional | None | $812.83 | $933.25 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $1,348.96 Typical High $17,378.01 | Facility | None | $776.25 | $1,348.96 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,258.93 | Professional | None | $691.83 | $758.58 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $954.99 | Facility | None | $562.34 | $891.25 | $954.99 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $8,709.64 Typical High $12,589.25 | Facility | None | $758.58 | $8,709.64 | $12,589.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $891.25 Typical High $1,380.38 | Professional | None | $79.43 | $891.25 | $1,380.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $20,892.96 Typical High $40,738.03 | Facility | None | $14,454.40 | $20,892.96 | $40,738.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,412.54 | Professional | None | $891.25 | $954.99 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,621.81 | Professional | None | $707.95 | $1,023.29 | $1,621.81 |
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 $288.40 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $288.40 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $114.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $436.52 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $87.10 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $57.54 | $69.18 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $69.18 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in New York. 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· 14th of 51
$933
AK $1,905NY $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.