How much rates vary
Facilitymedian $389 · 10th to 90th $209 to $4,266Professionalmedian $245 · 10th to 90th $120 to $479
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 $123.03 Median $190.55 Typical High $323.59 | Professional | None | $123.03 | $190.55 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $3,630.78 | Facility | None | $660.69 | $2,691.53 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $239.88 Typical High $512.86 | Professional | None | $120.23 | $239.88 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $549.54 | Professional | None | $151.36 | $229.09 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $389.05 Typical High $6,606.93 | Facility | None | $177.83 | $389.05 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $257.04 Typical High $426.58 | Professional | None | $123.03 | $257.04 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $407.38 | Facility | None | $199.53 | $346.74 | $407.38 |
Providence Setting Facility Modifier None Typical Low $199.53 Median $2,187.76 Typical High $3,630.78 | Facility | None | $199.53 | $2,187.76 | $3,630.78 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $223.87 Typical High $512.86 | Professional | None | $79.43 | $223.87 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $9,549.93 Typical High $10,964.78 | Facility | None | $6,918.31 | $9,549.93 | $10,964.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $407.38 | Professional | None | $162.18 | $316.23 | $407.38 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $537.03 | Professional | None | $141.25 | $269.15 | $537.03 |
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 $61.66 Median $95.50 Typical High $162.18 | Professional | 52 · Reduced service | $61.66 | $95.50 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $66.07 | Professional | 53 · Discontinued | $24.55 | $38.02 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $144.54 Typical High $245.47 | Professional | 54 · Surgery only | $93.33 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $28.84 Typical High $48.98 | Professional | 55 · Aftercare only | $18.62 | $28.84 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.05 Typical High $32.36 | Professional | 56 · Pre-op care only | $12.30 | $19.05 | $32.36 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $95.50 Typical High $162.18 | Professional | 52 · Reduced service | $61.66 | $95.50 | $162.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $66.07 | Professional | 53 · Discontinued | $24.55 | $38.02 | $66.07 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $144.54 Typical High $245.47 | Professional | 54 · Surgery only | $93.33 | $144.54 | $245.47 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $28.84 Typical High $48.98 | Professional | 55 · Aftercare only | $18.62 | $28.84 | $48.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.05 Typical High $32.36 | Professional | 56 · Pre-op care only | $12.30 | $19.05 | $32.36 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 5th of 51
$275
AK $437DC $97.72
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.