How much rates vary
Facilitymedian $389 · 10th to 90th $251 to $4,169Professionalmedian $251 · 10th to 90th $112 to $525
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $239.88 Typical High $338.84 | Professional | None | $109.65 | $239.88 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,019.95 Typical High $4,168.69 | Facility | None | $660.69 | $3,019.95 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $251.19 Typical High $524.81 | Professional | None | $131.83 | $251.19 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $524.81 | Professional | None | $154.88 | $229.09 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $501.19 Typical High $7,943.28 | Facility | None | $162.18 | $501.19 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $251.19 Typical High $489.78 | Professional | None | $112.20 | $251.19 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $218.78 Median $363.08 Typical High $457.09 | Facility | None | $218.78 | $363.08 | $457.09 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $2,454.71 Typical High $4,168.69 | Facility | None | $251.19 | $2,454.71 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $245.47 Typical High $524.81 | Professional | None | $79.43 | $245.47 | $524.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $8,511.38 Typical High $12,882.50 | Facility | None | $3,311.31 | $8,511.38 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $562.34 | Professional | None | $158.49 | $288.40 | $562.34 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $154.88 Median $288.40 Typical High $602.56 | Professional | None | $154.88 | $288.40 | $602.56 |
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 $56.23 Median $91.20 Typical High $138.04 | Professional | 52 · Reduced service | $56.23 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $36.31 Typical High $54.95 | Professional | 53 · Discontinued | $22.39 | $36.31 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $134.90 Typical High $208.93 | Professional | 54 · Surgery only | $85.11 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $26.92 Typical High $41.69 | Professional | 55 · Aftercare only | $16.98 | $26.92 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $18.20 Typical High $27.54 | Professional | 56 · Pre-op care only | $11.22 | $18.20 | $27.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $138.04 | Professional | 52 · Reduced service | $56.23 | $57.54 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $54.95 | Professional | 53 · Discontinued | $22.39 | $22.91 | $54.95 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $87.10 Typical High $208.93 | Professional | 54 · Surgery only | $85.11 | $87.10 | $208.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.38 Typical High $41.69 | Professional | 55 · Aftercare only | $16.98 | $17.38 | $41.69 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.48 Typical High $27.54 | Professional | 56 · Pre-op care only | $11.22 | $11.48 | $27.54 |
Where Oregon sits
The same service costs 4.1 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· 10th of 51
$355
AK $646NE $158
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.