How much rates vary
Facilitymedian $355 · 10th to 90th $200 to $6,918Professionalmedian $204 · 10th to 90th $95 to $468
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 $151.36 Median $3,235.94 Typical High $6,606.93 | Facility | None | $151.36 | $3,235.94 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $158.49 Typical High $263.03 | Professional | None | $74.13 | $158.49 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,398.83 Typical High $3,162.28 | Facility | None | $1,000.00 | $2,398.83 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $218.78 Typical High $489.78 | Professional | None | $107.15 | $218.78 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $436.52 | Professional | None | $120.23 | $181.97 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $3,235.94 Typical High $9,120.11 | Facility | None | $162.18 | $3,235.94 | $9,120.11 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $186.21 Typical High $446.68 | Professional | None | $79.43 | $186.21 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $354.81 | Facility | None | $199.53 | $331.13 | $354.81 |
Providence Setting Facility Modifier None Typical Low $186.21 Median $2,137.96 Typical High $3,162.28 | Facility | None | $186.21 | $2,137.96 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $213.80 Typical High $489.78 | Professional | None | $79.43 | $213.80 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $9,772.37 Typical High $11,220.18 | Facility | None | $4,570.88 | $9,772.37 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $467.74 | Professional | None | $141.25 | $239.88 | $467.74 |
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 $128.82 Median $257.04 Typical High $501.19 | Professional | None | $128.82 | $257.04 | $501.19 |
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 $54.95 Median $54.95 Typical High $131.83 | Professional | 52 · Reduced service | $54.95 | $54.95 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $52.48 | Professional | 53 · Discontinued | $21.88 | $21.88 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $194.98 | Professional | 54 · Surgery only | $83.18 | $83.18 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $39.81 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $26.30 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $26.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $131.83 | Professional | 52 · Reduced service | $54.95 | $54.95 | $131.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $52.48 | Professional | 53 · Discontinued | $21.88 | $21.88 | $52.48 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $194.98 | Professional | 54 · Surgery only | $83.18 | $83.18 | $194.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $39.81 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $39.81 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $26.30 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $26.30 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,760.83 Median $14,791.08 Typical High $16,982.44 | Facility | 50 · Both sides | $6,760.83 | $14,791.08 | $16,982.44 |
Where Oregon sits
The same service costs 9.7 times more in Colorado than in Montana. 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
CO $4,351MT $447
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.