How much rates vary
Facilitymedian $457 · 10th to 90th $288 to $871Professionalmedian $447 · 10th to 90th $245 to $661
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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | None | $281.84 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $2,137.96 | Facility | None | $549.54 | $870.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $630.96 | Professional | None | $302.00 | $380.19 | $630.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $549.54 | Professional | None | $354.81 | $446.68 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $7,943.28 | Facility | None | $380.19 | $575.44 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $575.44 | Professional | None | $354.81 | $371.54 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $478.63 | Facility | None | $288.40 | $457.09 | $478.63 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $575.44 Typical High $1,047.13 | Facility | None | $346.74 | $575.44 | $1,047.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $446.68 Typical High $707.95 | Professional | None | $79.43 | $446.68 | $707.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $630.96 | Professional | None | $457.09 | $489.78 | $630.96 |
United Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $11,481.54 | Facility | None | $602.56 | $870.96 | $11,481.54 |
United Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $758.58 | Professional | None | $363.08 | $446.68 | $758.58 |
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 $131.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $52.48 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $199.53 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $39.81 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $26.30 | $35.48 | $35.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $162.18 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $245.47 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $48.98 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $32.36 | $35.48 | $35.48 |
Where Oregon sits
The same service costs 5.0 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· 9th of 51
$447
AK $977UT $195
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.