How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,230 to $7,943Professionalmedian $891 · 10th to 90th $363 to $2,692
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 $5,128.61 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $1,659.59 | Professional | None | $316.23 | $457.09 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $4,168.69 | Facility | None | $2,137.96 | $3,090.30 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,023.29 Typical High $2,754.23 | Professional | None | $426.58 | $1,023.29 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $2,454.71 | Professional | None | $467.74 | $707.95 | $2,454.71 |
Moda Health Setting Facility Modifier None Typical Low $512.86 Median $2,951.21 Typical High $17,378.01 | Facility | None | $512.86 | $2,951.21 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $338.84 Median $1,122.02 Typical High $2,511.89 | Professional | None | $338.84 | $1,122.02 | $2,511.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $2,344.23 | Facility | None | $1,230.27 | $1,862.09 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $2,951.21 Typical High $4,168.69 | Facility | None | $660.69 | $2,951.21 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $794.33 Typical High $2,754.23 | Professional | None | $79.43 | $794.33 | $2,754.23 |
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 $524.81 Median $933.25 Typical High $2,884.03 | Professional | None | $524.81 | $933.25 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $501.19 Median $1,288.25 Typical High $3,019.95 | Professional | None | $501.19 | $1,288.25 | $3,019.95 |
7 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 54 · Surgery only Typical Low $269.15 Median $398.11 Typical High $1,148.15 | Professional | 54 · Surgery only | $269.15 | $398.11 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $81.28 Typical High $229.09 | Professional | 55 · Aftercare only | $53.70 | $81.28 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $53.70 Typical High $151.36 | Professional | 56 · Pre-op care only | $36.31 | $53.70 | $151.36 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $269.15 | $269.15 | $1,148.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $229.09 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $229.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $151.36 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $151.36 |
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 4.8 times more in Alaska 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· 4th of 51
$1,778
AK $2,512NE $525
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.