How much rates vary
Facilitymedian $813 · 10th to 90th $447 to $4,677Professionalmedian $468 · 10th to 90th $229 to $1,000
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 $239.88 Median $416.87 Typical High $691.83 | Professional | None | $239.88 | $416.87 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $2,290.87 | Facility | None | $660.69 | $1,659.59 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $446.68 Typical High $1,047.13 | Professional | None | $229.09 | $446.68 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $1,148.15 | Professional | None | $269.15 | $416.87 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $812.83 Typical High $6,606.93 | Facility | None | $346.74 | $812.83 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $512.86 Typical High $870.96 | Professional | None | $239.88 | $512.86 | $870.96 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $851.14 | Facility | None | $398.11 | $758.58 | $851.14 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $1,348.96 Typical High $2,290.87 | Facility | None | $389.05 | $1,348.96 | $2,290.87 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $436.52 Typical High $1,071.52 | Professional | None | $79.43 | $436.52 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,677.35 Median $6,606.93 Typical High $7,585.78 | Facility | None | $4,677.35 | $6,606.93 | $7,585.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $660.69 Typical High $851.14 | Professional | None | $302.00 | $660.69 | $851.14 |
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 $269.15 Median $524.81 Typical High $1,096.48 | Professional | None | $269.15 | $524.81 | $1,096.48 |
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 $120.23 Median $190.55 Typical High $346.74 | Professional | 52 · Reduced service | $120.23 | $190.55 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $75.86 Typical High $138.04 | Professional | 53 · Discontinued | $47.86 | $75.86 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $281.84 Typical High $512.86 | Professional | 54 · Surgery only | $181.97 | $281.84 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $56.23 Typical High $102.33 | Professional | 55 · Aftercare only | $36.31 | $56.23 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $38.02 Typical High $69.18 | Professional | 56 · Pre-op care only | $23.99 | $38.02 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $190.55 Typical High $346.74 | Professional | 52 · Reduced service | $120.23 | $190.55 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $75.86 Typical High $138.04 | Professional | 53 · Discontinued | $47.86 | $75.86 | $138.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $281.84 Typical High $512.86 | Professional | 54 · Surgery only | $181.97 | $281.84 | $512.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $56.23 Typical High $102.33 | Professional | 55 · Aftercare only | $36.31 | $56.23 | $102.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $38.02 Typical High $69.18 | Professional | 56 · Pre-op care only | $23.99 | $38.02 | $69.18 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 7th of 51
$550
AK $851DC $191
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.