How much rates vary
Facilitymedian $10,965 · 10th to 90th $6,026 to $31,623Professionalmedian $1,698 · 10th to 90th $661 to $15,136
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 $13,489.63 Typical High $33,884.42 | Facility | None | $5,128.61 | $13,489.63 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $6,918.31 Typical High $10,471.29 | Professional | None | $524.81 | $6,918.31 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $23,442.29 Typical High $31,622.78 | Facility | None | $1,000.00 | $23,442.29 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,621.81 Typical High $15,488.17 | Professional | None | $691.83 | $1,621.81 | $15,488.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $15,135.61 | Professional | None | $851.14 | $1,288.25 | $15,135.61 |
Moda Health Setting Facility Modifier None Typical Low $954.99 Median $12,882.50 Typical High $33,884.42 | Facility | None | $954.99 | $12,882.50 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $524.81 Median $6,309.57 Typical High $13,182.57 | Professional | None | $524.81 | $6,309.57 | $13,182.57 |
Pacific Source Setting Facility Modifier None Typical Low $7,244.36 Median $10,000.00 Typical High $12,882.50 | Facility | None | $7,244.36 | $10,000.00 | $12,882.50 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $20,892.96 Typical High $29,512.09 | Facility | None | $831.76 | $20,892.96 | $29,512.09 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,445.44 Typical High $15,488.17 | Professional | None | $79.43 | $1,445.44 | $15,488.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $47,863.01 Median $63,095.73 Typical High $74,131.02 | Facility | None | $47,863.01 | $63,095.73 | $74,131.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,698.24 Typical High $15,848.93 | Professional | None | $954.99 | $1,698.24 | $15,848.93 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $12,882.50 Typical High $63,095.73 | Facility | None | $3,548.13 | $12,882.50 | $63,095.73 |
United Setting Professional Modifier None Typical Low $912.01 Median $7,079.46 Typical High $16,982.44 | Professional | None | $912.01 | $7,079.46 | $16,982.44 |
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 $338.84 Median $380.19 Typical High $4,466.84 | Professional | 52 · Reduced service | $338.84 | $380.19 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $154.88 Typical High $1,819.70 | Professional | 53 · Discontinued | $134.90 | $154.88 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $575.44 Typical High $6,760.83 | Professional | 54 · Surgery only | $501.19 | $575.44 | $6,760.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $114.82 Typical High $1,348.96 | Professional | 55 · Aftercare only | $100.00 | $114.82 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $75.86 Typical High $891.25 | Professional | 56 · Pre-op care only | $67.61 | $75.86 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $4,466.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $4,466.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $1,819.70 | Professional | 53 · Discontinued | $134.90 | $134.90 | $1,819.70 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $6,760.83 | Professional | 54 · Surgery only | $501.19 | $501.19 | $6,760.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $1,348.96 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $1,348.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $891.25 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $891.25 |
Where Oregon sits
The same service costs 6.1 times more in Alaska than in Vermont. 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.
Physician feeFacility fee
AK $33,081VT $5,424
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.