How much rates vary
Facilitymedian $251 · 10th to 90th $170 to $955Professionalmedian $214 · 10th to 90th $129 to $339
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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $194.98 | Professional | None | $134.90 | $134.90 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $891.25 | Facility | None | $537.03 | $676.08 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $346.74 | Professional | None | $128.82 | $208.93 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $218.78 Typical High $323.59 | Professional | None | $154.88 | $218.78 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $275.42 Typical High $7,943.28 | Facility | None | $194.98 | $275.42 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $288.40 | Professional | None | $134.90 | $194.98 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $257.04 | Facility | None | $144.54 | $239.88 | $257.04 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $616.60 Typical High $933.25 | Facility | None | $223.87 | $616.60 | $933.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $213.80 Typical High $338.84 | Professional | None | $79.43 | $213.80 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $2,818.38 | Facility | None | $1,737.80 | $2,187.76 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $338.84 | Professional | None | $169.82 | $239.88 | $338.84 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $371.54 | Professional | None | $151.36 | $229.09 | $371.54 |
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 $67.61 Median $67.61 Typical High $97.72 | Professional | 52 · Reduced service | $67.61 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $27.54 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | 54 · Surgery only | $102.33 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $28.84 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $19.50 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $19.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $97.72 | Professional | 52 · Reduced service | $67.61 | $67.61 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $27.54 | $38.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | 54 · Surgery only | $102.33 | $102.33 | $144.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $28.84 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $28.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $19.50 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $19.50 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 5th of 51
$240
AK $447IN $126
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.