How much rates vary
Facilitymedian $2,512 · 10th to 90th $933 to $5,754Professionalmedian $513 · 10th to 90th $191 to $3,715
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 $141.25 Median $1,548.82 Typical High $2,570.40 | Professional | None | $141.25 | $1,548.82 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,187.76 Typical High $2,884.03 | Facility | None | $1,023.29 | $2,187.76 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $478.63 Typical High $3,890.45 | Professional | None | $208.93 | $478.63 | $3,890.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $3,388.44 | Professional | None | $257.04 | $380.19 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $3,801.89 Typical High $8,709.64 | Facility | None | $288.40 | $3,801.89 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $1,548.82 Typical High $3,162.28 | Professional | None | $154.88 | $1,548.82 | $3,162.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,162.28 | Facility | None | $1,698.24 | $2,511.89 | $3,162.28 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $2,187.76 Typical High $3,630.78 | Facility | None | $363.08 | $2,187.76 | $3,630.78 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $436.52 Typical High $3,890.45 | Professional | None | $79.43 | $436.52 | $3,890.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,786.30 Median $6,456.54 Typical High $7,413.10 | Facility | None | $4,786.30 | $6,456.54 | $7,413.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $281.84 Median $512.86 Typical High $3,981.07 | Professional | None | $281.84 | $512.86 | $3,981.07 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $275.42 Median $1,819.70 Typical High $4,365.16 | Professional | None | $275.42 | $1,819.70 | $4,365.16 |
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 $100.00 Median $114.82 Typical High $1,202.26 | Professional | 52 · Reduced service | $100.00 | $114.82 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $478.63 | Professional | 53 · Discontinued | $39.81 | $46.77 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $173.78 Typical High $1,819.70 | Professional | 54 · Surgery only | $151.36 | $173.78 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $34.67 Typical High $363.08 | Professional | 55 · Aftercare only | $30.20 | $34.67 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $23.44 Typical High $239.88 | Professional | 56 · Pre-op care only | $19.95 | $23.44 | $239.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $1,202.26 | Professional | 52 · Reduced service | $100.00 | $100.00 | $1,202.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $478.63 | Professional | 53 · Discontinued | $39.81 | $39.81 | $478.63 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $1,819.70 | Professional | 54 · Surgery only | $151.36 | $151.36 | $1,819.70 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $363.08 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $363.08 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $239.88 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $239.88 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,244.36 Median $9,549.93 Typical High $11,220.18 | Facility | 50 · Both sides | $7,244.36 | $9,549.93 | $11,220.18 |
Where Oregon sits
The same service costs 8.5 times more in Wisconsin 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· 3rd of 51
$2,089
WI $2,291NE $269
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.