How much rates vary
Facilitymedian $1,318 · 10th to 90th $646 to $6,607Professionalmedian $575 · 10th to 90th $263 to $1,380
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $933.25 | Professional | None | $275.42 | $537.03 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,698.24 | Facility | None | $831.76 | $1,258.93 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $588.84 Typical High $1,412.54 | Professional | None | $263.03 | $588.84 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $1,513.56 | Professional | None | $309.03 | $478.63 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $398.11 Median $1,348.96 Typical High $7,943.28 | Facility | None | $398.11 | $1,348.96 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $275.42 Median $602.56 Typical High $1,174.90 | Professional | None | $275.42 | $602.56 | $1,174.90 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $1,258.93 Typical High $1,778.28 | Facility | None | $446.68 | $1,258.93 | $1,778.28 |
Providence Setting Professional Modifier None Typical Low $186.21 Median $524.81 Typical High $1,513.56 | Professional | None | $186.21 | $524.81 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $4,677.35 | Facility | None | $3,019.95 | $4,073.80 | $4,677.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $851.14 Typical High $1,122.02 | Professional | None | $346.74 | $851.14 | $1,122.02 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $6,918.31 | Facility | None | $602.56 | $1,000.00 | $6,918.31 |
United Setting Professional Modifier None Typical Low $309.03 Median $630.96 Typical High $1,445.44 | Professional | None | $309.03 | $630.96 | $1,445.44 |
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 $138.04 Median $245.47 Typical High $467.74 | Professional | 52 · Reduced service | $138.04 | $245.47 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $100.00 Typical High $186.21 | Professional | 53 · Discontinued | $54.95 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $371.54 Typical High $707.95 | Professional | 54 · Surgery only | $208.93 | $371.54 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $74.13 Typical High $141.25 | Professional | 55 · Aftercare only | $41.69 | $74.13 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $48.98 Typical High $93.33 | Professional | 56 · Pre-op care only | $27.54 | $48.98 | $93.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $245.47 Typical High $467.74 | Professional | 52 · Reduced service | $138.04 | $245.47 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $100.00 Typical High $186.21 | Professional | 53 · Discontinued | $54.95 | $100.00 | $186.21 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $371.54 Typical High $707.95 | Professional | 54 · Surgery only | $208.93 | $371.54 | $707.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $74.13 Typical High $141.25 | Professional | 55 · Aftercare only | $41.69 | $74.13 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $48.98 Typical High $93.33 | Professional | 56 · Pre-op care only | $27.54 | $48.98 | $93.33 |
Where Oregon sits
The same service costs 4.8 times more in Colorado than in Maryland. 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 $4,327MD $911
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.