How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,778 to $12,589Professionalmedian $1,047 · 10th to 90th $407 to $4,169
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 $501.19 Median $5,623.41 Typical High $8,709.64 | Facility | None | $501.19 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $1,445.44 Typical High $2,290.87 | Professional | None | $295.12 | $1,445.44 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,548.82 Typical High $4,466.84 | Professional | None | $446.68 | $1,548.82 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $4,786.30 | Professional | None | $575.44 | $831.76 | $4,786.30 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $3,235.94 Typical High $8,709.64 | Facility | None | $501.19 | $3,235.94 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $309.03 Median $1,047.13 Typical High $3,467.37 | Professional | None | $309.03 | $1,047.13 | $3,467.37 |
Pacific Source Setting Facility Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $3,162.28 | Facility | None | $1,862.09 | $2,884.03 | $3,162.28 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $3,019.95 Typical High $4,265.80 | Facility | None | $436.52 | $3,019.95 | $4,265.80 |
Providence Setting Professional Modifier None Typical Low $251.19 Median $954.99 Typical High $4,265.80 | Professional | None | $251.19 | $954.99 | $4,265.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $12,882.50 | Facility | None | $8,317.64 | $10,964.78 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $1,949.84 Typical High $3,981.07 | Professional | None | $616.60 | $1,949.84 | $3,981.07 |
United Setting Facility Modifier None Typical Low $10,000.00 Median $20,892.96 Typical High $27,542.29 | Facility | None | $10,000.00 | $20,892.96 | $27,542.29 |
United Setting Professional Modifier None Typical Low $436.52 Median $1,348.96 Typical High $4,265.80 | Professional | None | $436.52 | $1,348.96 | $4,265.80 |
11 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 $204.17 Median $467.74 Typical High $1,148.15 | Professional | 52 · Reduced service | $204.17 | $467.74 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $186.21 Typical High $457.09 | Professional | 53 · Discontinued | $81.28 | $186.21 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $707.95 Typical High $1,698.24 | Professional | 54 · Surgery only | $309.03 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $141.25 Typical High $338.84 | Professional | 55 · Aftercare only | $61.66 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $93.33 Typical High $229.09 | Professional | 56 · Pre-op care only | $40.74 | $93.33 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $288.40 Typical High $1,148.15 | Professional | 52 · Reduced service | $204.17 | $288.40 | $1,148.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $114.82 Typical High $457.09 | Professional | 53 · Discontinued | $81.28 | $114.82 | $457.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $436.52 Typical High $1,698.24 | Professional | 54 · Surgery only | $309.03 | $436.52 | $1,698.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $87.10 Typical High $338.84 | Professional | 55 · Aftercare only | $61.66 | $87.10 | $338.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $57.54 Typical High $229.09 | Professional | 56 · Pre-op care only | $40.74 | $57.54 | $229.09 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $12,302.69 Median $16,595.87 Typical High $19,054.61 | Facility | 50 · Both sides | $12,302.69 | $16,595.87 | $19,054.61 |
Where Oregon sits
The same service costs 5.6 times more in Wisconsin 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· 12th of 51
$1,698
WI $2,570MD $457
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.