How much rates vary
Facilitymedian $912 · 10th to 90th $407 to $5,623Professionalmedian $525 · 10th to 90th $275 to $1,148
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 $380.19 Median $3,890.45 Typical High $7,943.28 | Facility | None | $380.19 | $3,890.45 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $812.83 | Professional | None | $213.80 | $309.03 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,698.24 Typical High $2,290.87 | Facility | None | $891.25 | $1,698.24 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $524.81 Typical High $1,230.27 | Professional | None | $275.42 | $524.81 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $1,348.96 | Professional | None | $331.13 | $501.19 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $1,122.02 Typical High $8,317.64 | Facility | None | $380.19 | $1,122.02 | $8,317.64 |
Moda Health Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $1,047.13 | Professional | None | $239.88 | $416.87 | $1,047.13 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $870.96 Typical High $1,000.00 | Facility | None | $380.19 | $870.96 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $467.74 Median $1,445.44 Typical High $2,290.87 | Facility | None | $467.74 | $1,445.44 | $2,290.87 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $512.86 Typical High $1,258.93 | Professional | None | $79.43 | $512.86 | $1,258.93 |
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 $371.54 Median $707.95 Typical High $1,000.00 | Professional | None | $371.54 | $707.95 | $1,000.00 |
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 $323.59 Median $630.96 Typical High $1,288.25 | Professional | None | $323.59 | $630.96 | $1,288.25 |
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 $147.91 Median $223.87 Typical High $407.38 | Professional | 52 · Reduced service | $147.91 | $223.87 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $89.13 Typical High $162.18 | Professional | 53 · Discontinued | $58.88 | $89.13 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $331.13 Typical High $616.60 | Professional | 54 · Surgery only | $218.78 | $331.13 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $66.07 Typical High $123.03 | Professional | 55 · Aftercare only | $44.67 | $66.07 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $44.67 Typical High $81.28 | Professional | 56 · Pre-op care only | $29.51 | $44.67 | $81.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $223.87 Typical High $407.38 | Professional | 52 · Reduced service | $147.91 | $223.87 | $407.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $89.13 Typical High $162.18 | Professional | 53 · Discontinued | $58.88 | $89.13 | $162.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $331.13 Typical High $616.60 | Professional | 54 · Surgery only | $218.78 | $331.13 | $616.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $66.07 Typical High $123.03 | Professional | 55 · Aftercare only | $44.67 | $66.07 | $123.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $44.67 Typical High $81.28 | Professional | 56 · Pre-op care only | $29.51 | $44.67 | $81.28 |
Where Oregon sits
The same service costs 4.1 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 $4,142MT $1,002
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.