How much rates vary
Facilitymedian $3,981 · 10th to 90th $2,291 to $20,417Professionalmedian $1,175 · 10th to 90th $437 to $5,370
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 $575.44 Median $7,943.28 Typical High $17,378.01 | Facility | None | $575.44 | $7,943.28 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $1,584.89 Typical High $3,388.44 | Professional | None | $338.84 | $1,584.89 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $1,819.70 Typical High $5,754.40 | Professional | None | $512.86 | $1,819.70 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $6,165.95 | Professional | None | $660.69 | $933.25 | $6,165.95 |
Moda Health Setting Facility Modifier None Typical Low $575.44 Median $4,570.88 Typical High $13,803.84 | Facility | None | $575.44 | $4,570.88 | $13,803.84 |
Moda Health Setting Professional Modifier None Typical Low $354.81 Median $1,071.52 Typical High $4,466.84 | Professional | None | $354.81 | $1,071.52 | $4,466.84 |
Pacific Source Setting Facility Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $4,168.69 | Facility | None | $2,344.23 | $3,630.78 | $4,168.69 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $3,890.45 Typical High $5,623.41 | Facility | None | $501.19 | $3,890.45 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $251.19 Median $1,071.52 Typical High $5,623.41 | Professional | None | $251.19 | $1,071.52 | $5,623.41 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $19,054.61 Typical High $21,877.62 | Facility | None | $13,803.84 | $19,054.61 | $21,877.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $2,511.89 Typical High $5,128.61 | Professional | None | $691.83 | $2,511.89 | $5,128.61 |
United Setting Facility Modifier None Typical Low $17,378.01 Median $21,877.62 Typical High $27,542.29 | Facility | None | $17,378.01 | $21,877.62 | $27,542.29 |
United Setting Professional Modifier None Typical Low $478.63 Median $1,698.24 Typical High $5,495.41 | Professional | None | $478.63 | $1,698.24 | $5,495.41 |
12 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 $234.42 Median $524.81 Typical High $1,513.56 | Professional | 52 · Reduced service | $234.42 | $524.81 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $213.80 Typical High $616.60 | Professional | 53 · Discontinued | $93.33 | $213.80 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $794.33 Typical High $2,290.87 | Professional | 54 · Surgery only | $346.74 | $794.33 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $158.49 Typical High $457.09 | Professional | 55 · Aftercare only | $69.18 | $158.49 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $107.15 Typical High $309.03 | Professional | 56 · Pre-op care only | $46.77 | $107.15 | $309.03 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $549.54 Median $1,230.27 Typical High $2,951.21 | Professional | 50 · Both sides | $549.54 | $1,230.27 | $2,951.21 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $323.59 Typical High $1,513.56 | Professional | 52 · Reduced service | $234.42 | $323.59 | $1,513.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $128.82 Typical High $616.60 | Professional | 53 · Discontinued | $93.33 | $128.82 | $616.60 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $489.78 Typical High $2,290.87 | Professional | 54 · Surgery only | $346.74 | $489.78 | $2,290.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $97.72 Typical High $457.09 | Professional | 55 · Aftercare only | $69.18 | $97.72 | $457.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $64.57 Typical High $309.03 | Professional | 56 · Pre-op care only | $46.77 | $64.57 | $309.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $20,417.38 Median $28,183.83 Typical High $33,113.11 | Facility | 50 · Both sides | $20,417.38 | $28,183.83 | $33,113.11 |
Where Oregon sits
The same service costs 6.3 times more in Washington than in Maryland. 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· 15th of 51
$2,042
WA $3,236MD $513
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.