How much rates vary
Facilitymedian $427 · 10th to 90th $229 to $2,692Professionalmedian $234 · 10th to 90th $115 to $513
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 $109.65 Median $165.96 Typical High $363.08 | Professional | None | $109.65 | $165.96 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $1,318.26 | Facility | None | $562.34 | $977.24 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $239.88 Typical High $562.34 | Professional | None | $114.82 | $239.88 | $562.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $218.78 Typical High $602.56 | Professional | None | $141.25 | $218.78 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $398.11 Typical High $6,606.93 | Facility | None | $169.82 | $398.11 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $120.23 Median $234.42 Typical High $457.09 | Professional | None | $120.23 | $234.42 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $218.78 Median $354.81 Typical High $446.68 | Facility | None | $218.78 | $354.81 | $446.68 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $776.25 Typical High $1,318.26 | Facility | None | $194.98 | $776.25 | $1,318.26 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $218.78 Typical High $562.34 | Professional | None | $79.43 | $218.78 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $3,630.78 | Facility | None | $2,290.87 | $3,162.28 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $446.68 | Professional | None | $154.88 | $316.23 | $446.68 |
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 $134.90 Median $263.03 Typical High $575.44 | Professional | None | $134.90 | $263.03 | $575.44 |
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 $60.26 Median $91.20 Typical High $181.97 | Professional | 52 · Reduced service | $60.26 | $91.20 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $37.15 Typical High $72.44 | Professional | 53 · Discontinued | $23.99 | $37.15 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $138.04 Typical High $275.42 | Professional | 54 · Surgery only | $91.20 | $138.04 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $27.54 Typical High $54.95 | Professional | 55 · Aftercare only | $18.20 | $27.54 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $18.62 Typical High $36.31 | Professional | 56 · Pre-op care only | $12.02 | $18.62 | $36.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $91.20 Typical High $181.97 | Professional | 52 · Reduced service | $60.26 | $91.20 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $36.31 Typical High $72.44 | Professional | 53 · Discontinued | $23.99 | $36.31 | $72.44 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $134.90 Typical High $275.42 | Professional | 54 · Surgery only | $91.20 | $134.90 | $275.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $26.92 Typical High $54.95 | Professional | 55 · Aftercare only | $18.20 | $26.92 | $54.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $18.20 Typical High $36.31 | Professional | 56 · Pre-op care only | $12.02 | $18.20 | $36.31 |
Where Oregon sits
The same service costs 4.1 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· 8th of 51
$269
AK $398DC $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.