How much rates vary
Facilitymedian $1,096 · 10th to 90th $331 to $5,623Professionalmedian $437 · 10th to 90th $166 to $1,514
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 $147.91 Median $602.56 Typical High $891.25 | Professional | None | $147.91 | $602.56 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $524.81 Typical High $1,621.81 | Professional | None | $190.55 | $524.81 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $1,479.11 | Professional | None | $245.47 | $346.74 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $1,412.54 Typical High $7,943.28 | Facility | None | $331.13 | $1,412.54 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $446.68 Typical High $1,230.27 | Professional | None | $158.49 | $446.68 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $1,096.48 Typical High $1,202.26 | Facility | None | $309.03 | $1,096.48 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $933.25 Typical High $1,513.56 | Facility | None | $263.03 | $933.25 | $1,513.56 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $398.11 Typical High $1,584.89 | Professional | None | $79.43 | $398.11 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $257.04 Median $707.95 Typical High $1,479.11 | Professional | None | $257.04 | $707.95 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $4,897.79 Typical High $6,165.95 | Facility | None | $1,122.02 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None Typical Low $181.97 Median $549.54 Typical High $1,584.89 | Professional | None | $181.97 | $549.54 | $1,584.89 |
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 $89.13 Median $208.93 Typical High $436.52 | Professional | 52 · Reduced service | $89.13 | $208.93 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $83.18 Typical High $177.83 | Professional | 53 · Discontinued | $35.48 | $83.18 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $309.03 Typical High $660.69 | Professional | 54 · Surgery only | $134.90 | $309.03 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $61.66 Typical High $131.83 | Professional | 55 · Aftercare only | $26.92 | $61.66 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $41.69 Typical High $89.13 | Professional | 56 · Pre-op care only | $17.78 | $41.69 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $123.03 Typical High $436.52 | Professional | 52 · Reduced service | $89.13 | $123.03 | $436.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $48.98 Typical High $177.83 | Professional | 53 · Discontinued | $35.48 | $48.98 | $177.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $186.21 Typical High $660.69 | Professional | 54 · Surgery only | $134.90 | $186.21 | $660.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $37.15 Typical High $131.83 | Professional | 55 · Aftercare only | $26.92 | $37.15 | $131.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $24.55 Typical High $89.13 | Professional | 56 · Pre-op care only | $17.78 | $24.55 | $89.13 |
Where Oregon sits
The same service costs 3.8 times more in Wisconsin 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· 10th of 51
$631
WI $912NE $240
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.