How much rates vary
Facilitymedian $1,549 · 10th to 90th $589 to $5,623Professionalmedian $776 · 10th to 90th $295 to $2,188
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 $398.11 Median $5,128.61 Typical High $8,709.64 | Facility | None | $398.11 | $5,128.61 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $891.25 Typical High $1,445.44 | Professional | None | $263.03 | $891.25 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $933.25 Typical High $2,290.87 | Professional | None | $338.84 | $933.25 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $2,089.30 | Professional | None | $446.68 | $630.96 | $2,089.30 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $2,398.83 Typical High $7,943.28 | Facility | None | $467.74 | $2,398.83 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $288.40 Median $741.31 Typical High $1,737.80 | Professional | None | $288.40 | $741.31 | $1,737.80 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $1,778.28 | Facility | None | $954.99 | $1,548.82 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $1,318.26 Typical High $2,511.89 | Facility | None | $478.63 | $1,318.26 | $2,511.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $724.44 Typical High $2,290.87 | Professional | None | $79.43 | $724.44 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $467.74 Median $1,000.00 Typical High $2,041.74 | Professional | None | $467.74 | $1,000.00 | $2,041.74 |
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 $331.13 Median $870.96 Typical High $2,238.72 | Professional | None | $331.13 | $870.96 | $2,238.72 |
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 $162.18 Median $380.19 Typical High $616.60 | Professional | 52 · Reduced service | $162.18 | $380.19 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $151.36 Typical High $251.19 | Professional | 53 · Discontinued | $64.57 | $151.36 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $562.34 Typical High $933.25 | Professional | 54 · Surgery only | $239.88 | $562.34 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $112.20 Typical High $186.21 | Professional | 55 · Aftercare only | $47.86 | $112.20 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $75.86 Typical High $125.89 | Professional | 56 · Pre-op care only | $32.36 | $75.86 | $125.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $223.87 Typical High $616.60 | Professional | 52 · Reduced service | $162.18 | $223.87 | $616.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $89.13 Typical High $251.19 | Professional | 53 · Discontinued | $64.57 | $89.13 | $251.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $338.84 Typical High $933.25 | Professional | 54 · Surgery only | $239.88 | $338.84 | $933.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $67.61 Typical High $186.21 | Professional | 55 · Aftercare only | $47.86 | $67.61 | $186.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $44.67 Typical High $125.89 | Professional | 56 · Pre-op care only | $32.36 | $44.67 | $125.89 |
Where Oregon sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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
$955
WI $1,380HI $324
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.