How much rates vary
Facilitymedian $813 · 10th to 90th $550 to $12,882Professionalmedian $741 · 10th to 90th $417 to $1,096
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 $11,748.98 Typical High $24,547.09 | Facility | None | $5,128.61 | $11,748.98 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $616.60 Typical High $616.60 | Professional | None | $478.63 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $8,511.38 Typical High $11,748.98 | Facility | None | $2,398.83 | $8,511.38 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,096.48 | Professional | None | $501.19 | $645.65 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $954.99 | Professional | None | $602.56 | $758.58 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $676.08 Median $1,202.26 Typical High $24,547.09 | Facility | None | $676.08 | $1,202.26 | $24,547.09 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $1,000.00 | Professional | None | $588.84 | $630.96 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $812.83 | Facility | None | $478.63 | $776.25 | $812.83 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $7,943.28 Typical High $11,748.98 | Facility | None | $933.25 | $7,943.28 | $11,748.98 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $758.58 Typical High $1,174.90 | Professional | None | $79.43 | $758.58 | $1,174.90 |
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 $776.25 Median $812.83 Typical High $1,096.48 | Professional | None | $776.25 | $812.83 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $1,258.93 | Professional | None | $602.56 | $758.58 | $1,258.93 |
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 $239.88 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $239.88 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $95.50 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $363.08 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $72.44 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $47.86 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $275.42 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $109.65 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $416.87 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $54.95 | $61.66 | $61.66 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in Texas. 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
$776
AK $1,622TX $363
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.