How much rates vary
Facilitymedian $1,995 · 10th to 90th $468 to $6,026Professionalmedian $676 · 10th to 90th $263 to $2,630
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 $234.42 Median $1,071.52 Typical High $1,659.59 | Professional | None | $234.42 | $1,071.52 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $933.25 Typical High $2,884.03 | Professional | None | $295.12 | $933.25 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $2,818.38 | Professional | None | $380.19 | $537.03 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $2,511.89 Typical High $8,709.64 | Facility | None | $398.11 | $2,511.89 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $660.69 Typical High $2,137.96 | Professional | None | $234.42 | $660.69 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $1,949.84 Typical High $2,137.96 | Facility | None | $467.74 | $1,949.84 | $2,137.96 |
Providence Setting Facility Modifier None Typical Low $416.87 Median $1,778.28 Typical High $2,754.23 | Facility | None | $416.87 | $1,778.28 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $2,818.38 | Professional | None | $79.43 | $602.56 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $398.11 Median $1,230.27 Typical High $2,570.40 | Professional | None | $398.11 | $1,230.27 | $2,570.40 |
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 $288.40 Median $912.01 Typical High $2,754.23 | Professional | None | $288.40 | $912.01 | $2,754.23 |
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 $134.90 Median $323.59 Typical High $794.33 | Professional | 52 · Reduced service | $134.90 | $323.59 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $128.82 Typical High $316.23 | Professional | 53 · Discontinued | $54.95 | $128.82 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $489.78 Typical High $1,174.90 | Professional | 54 · Surgery only | $204.17 | $489.78 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $97.72 Typical High $239.88 | Professional | 55 · Aftercare only | $40.74 | $97.72 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $64.57 Typical High $158.49 | Professional | 56 · Pre-op care only | $27.54 | $64.57 | $158.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $190.55 Typical High $794.33 | Professional | 52 · Reduced service | $134.90 | $190.55 | $794.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $77.62 Typical High $316.23 | Professional | 53 · Discontinued | $54.95 | $77.62 | $316.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $288.40 Typical High $1,174.90 | Professional | 54 · Surgery only | $204.17 | $288.40 | $1,174.90 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $57.54 Typical High $239.88 | Professional | 55 · Aftercare only | $40.74 | $57.54 | $239.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.02 Typical High $158.49 | Professional | 56 · Pre-op care only | $27.54 | $38.02 | $158.49 |
Where Oregon sits
The same service costs 4.1 times more in Washington 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
$1,096
WA $1,549NE $380
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.