How much rates vary
Facilitymedian $708 · 10th to 90th $513 to $5,623Professionalmedian $661 · 10th to 90th $372 to $977
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $537.03 | Professional | None | $426.58 | $537.03 | $537.03 |
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 $436.52 Median $575.44 Typical High $954.99 | Professional | None | $436.52 | $575.44 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $831.76 | Professional | None | $524.81 | $660.69 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $616.60 Median $1,148.15 Typical High $8,709.64 | Facility | None | $616.60 | $1,148.15 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $912.01 | Professional | None | $512.86 | $549.54 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $724.44 | Facility | None | $416.87 | $691.83 | $724.44 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $1,548.82 Typical High $2,290.87 | Facility | None | $724.44 | $1,548.82 | $2,290.87 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $676.08 Typical High $1,023.29 | Professional | None | $79.43 | $676.08 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,165.95 Median $9,332.54 Typical High $13,489.63 | Facility | None | $6,165.95 | $9,332.54 | $13,489.63 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $954.99 | Professional | None | $676.08 | $707.95 | $954.99 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,022.64 | Facility | None | $1,230.27 | $1,862.09 | $12,022.64 |
United Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,096.48 | Professional | None | $537.03 | $676.08 | $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 $213.80 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $213.80 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $85.11 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $316.23 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $63.10 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $42.66 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $239.88 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $95.50 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $363.08 | $398.11 | $398.11 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $72.44 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $47.86 | $53.70 | $53.70 |
Where Oregon sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 8th of 51
$676
AK $1,413UT $295
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.