How much rates vary
Facilitymedian $209 · 10th to 90th $129 to $1,413Professionalmedian $186 · 10th to 90th $110 to $288
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 $131.83 Median $144.54 Typical High $144.54 | Professional | None | $131.83 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $870.96 | Facility | None | $398.11 | $501.19 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $295.12 | Professional | None | $141.25 | $173.78 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $229.09 | Professional | None | $162.18 | $186.21 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $275.42 Typical High $8,709.64 | Facility | None | $158.49 | $275.42 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $251.19 | Professional | None | $144.54 | $147.91 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $208.93 | Facility | None | $125.89 | $186.21 | $208.93 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $467.74 Typical High $831.76 | Facility | None | $194.98 | $467.74 | $831.76 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $186.21 Typical High $309.03 | Professional | None | $79.43 | $186.21 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,737.80 | Facility | None | $1,148.15 | $1,548.82 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $275.42 | Professional | None | $199.53 | $208.93 | $275.42 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $331.13 | Professional | None | $154.88 | $199.53 | $331.13 |
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 $66.07 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $66.07 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $26.30 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | 54 · Surgery only | $100.00 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $13.18 | $14.45 | $14.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $69.18 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $27.54 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 54 · Surgery only | $104.71 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $20.89 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $13.80 | $14.45 | $14.45 |
Where Oregon sits
The same service costs 4.8 times more in Alaska than in Florida. 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· 8th of 51
$191
AK $427FL $89.13
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.