How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,138 to $20,417Professionalmedian $1,148 · 10th to 90th $437 to $5,129
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 $562.34 Median $7,943.28 Typical High $17,378.01 | Facility | None | $562.34 | $7,943.28 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $1,584.89 Typical High $3,388.44 | Professional | None | $346.74 | $1,584.89 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,862.09 Typical High $5,495.41 | Professional | None | $501.19 | $1,862.09 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $6,025.60 | Professional | None | $645.65 | $933.25 | $6,025.60 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $4,365.16 Typical High $13,182.57 | Facility | None | $562.34 | $4,365.16 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $1,023.29 Typical High $4,265.80 | Professional | None | $346.74 | $1,023.29 | $4,265.80 |
Pacific Source Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $3,981.07 | Facility | None | $2,238.72 | $3,548.13 | $3,981.07 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $3,801.89 Typical High $5,495.41 | Facility | None | $489.78 | $3,801.89 | $5,495.41 |
Providence Setting Professional Modifier None Typical Low $251.19 Median $1,071.52 Typical High $5,370.32 | Professional | None | $251.19 | $1,071.52 | $5,370.32 |
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 $2,454.71 Typical High $5,011.87 | Professional | None | $691.83 | $2,454.71 | $5,011.87 |
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 $1,621.81 Typical High $5,370.32 | Professional | None | $478.63 | $1,621.81 | $5,370.32 |
13 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 $229.09 Median $524.81 Typical High $1,445.44 | Professional | 52 · Reduced service | $229.09 | $524.81 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $208.93 Typical High $588.84 | Professional | 53 · Discontinued | $91.20 | $208.93 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $794.33 Typical High $2,187.76 | Professional | 54 · Surgery only | $346.74 | $794.33 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $158.49 Typical High $436.52 | Professional | 55 · Aftercare only | $69.18 | $158.49 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $104.71 Typical High $295.12 | Professional | 56 · Pre-op care only | $45.71 | $104.71 | $295.12 |
Moda Health Setting Facility Modifier 50 · Both sides Typical Low $2,818.38 Median $5,623.41 Typical High $8,511.38 | Facility | 50 · Both sides | $2,818.38 | $5,623.41 | $8,511.38 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $426.58 Typical High $3,311.31 | Professional | 50 · Both sides | $154.88 | $426.58 | $3,311.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $323.59 Typical High $1,445.44 | Professional | 52 · Reduced service | $229.09 | $323.59 | $1,445.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $128.82 Typical High $588.84 | Professional | 53 · Discontinued | $91.20 | $128.82 | $588.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $489.78 Typical High $2,187.76 | Professional | 54 · Surgery only | $346.74 | $489.78 | $2,187.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $97.72 Typical High $436.52 | Professional | 55 · Aftercare only | $69.18 | $97.72 | $436.52 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $64.57 Typical High $295.12 | Professional | 56 · Pre-op care only | $45.71 | $64.57 | $295.12 |
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 6.2 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· 11th of 51
$2,089
WA $3,162MD $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.