How much rates vary
Facilitymedian $955 · 10th to 90th $661 to $11,220Professionalmedian $871 · 10th to 90th $490 to $1,318
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 $8,317.64 Typical High $17,378.01 | Facility | None | $5,128.61 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $724.44 | Professional | None | $457.09 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $6,918.31 Typical High $9,549.93 | Facility | None | $2,187.76 | $6,918.31 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,288.25 | Professional | None | $575.44 | $758.58 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,122.02 | Professional | None | $707.95 | $891.25 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $1,047.13 Median $10,715.19 Typical High $17,378.01 | Facility | None | $1,047.13 | $10,715.19 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,258.93 | Professional | None | $512.86 | $724.44 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $954.99 | Facility | None | $562.34 | $912.01 | $954.99 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $6,606.93 Typical High $9,549.93 | Facility | None | $977.24 | $6,606.93 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $912.01 Typical High $1,380.38 | Professional | None | $79.43 | $912.01 | $1,380.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,125.38 Median $19,952.62 Typical High $22,908.68 | Facility | None | $14,125.38 | $19,952.62 | $22,908.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,258.93 | Professional | None | $912.01 | $954.99 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,479.11 | Professional | None | $707.95 | $891.25 | $1,479.11 |
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 $281.84 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $281.84 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $426.58 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $85.11 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $323.59 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $131.83 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $489.78 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $97.72 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $64.57 | $72.44 | $72.44 |
Where Oregon sits
The same service costs 5.9 times more in Alaska 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
AK $8,723MT $1,483
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.