How much rates vary
Facilitymedian $282 · 10th to 90th $170 to $3,162Professionalmedian $182 · 10th to 90th $93 to $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 $87.10 Median $141.25 Typical High $269.15 | Professional | None | $87.10 | $141.25 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $295.12 Typical High $870.96 | Facility | None | $239.88 | $295.12 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $426.58 | Professional | None | $93.33 | $194.98 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $457.09 | Professional | None | $117.49 | $181.97 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $138.04 Median $309.03 Typical High $6,606.93 | Facility | None | $138.04 | $309.03 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $186.21 Typical High $338.84 | Professional | None | $95.50 | $186.21 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $338.84 | Facility | None | $158.49 | $269.15 | $338.84 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $295.12 Typical High $691.83 | Facility | None | $154.88 | $295.12 | $691.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $426.58 | Professional | None | $79.43 | $177.83 | $426.58 |
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 $123.03 Median $229.09 Typical High $338.84 | Professional | None | $123.03 | $229.09 | $338.84 |
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 $107.15 Median $208.93 Typical High $436.52 | Professional | None | $107.15 | $208.93 | $436.52 |
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 $47.86 Median $67.61 Typical High $134.90 | Professional | 52 · Reduced service | $47.86 | $67.61 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.92 Typical High $53.70 | Professional | 53 · Discontinued | $19.05 | $26.92 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $102.33 Typical High $199.53 | Professional | 54 · Surgery only | $72.44 | $102.33 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $20.42 Typical High $40.74 | Professional | 55 · Aftercare only | $14.45 | $20.42 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.49 Typical High $26.92 | Professional | 56 · Pre-op care only | $9.55 | $13.49 | $26.92 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $66.07 Typical High $134.90 | Professional | 52 · Reduced service | $47.86 | $66.07 | $134.90 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.92 Typical High $53.70 | Professional | 53 · Discontinued | $19.05 | $26.92 | $53.70 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $100.00 Typical High $199.53 | Professional | 54 · Surgery only | $72.44 | $100.00 | $199.53 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.95 Typical High $40.74 | Professional | 55 · Aftercare only | $14.45 | $19.95 | $40.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.18 Typical High $26.92 | Professional | 56 · Pre-op care only | $9.55 | $13.18 | $26.92 |
Where Oregon sits
The same service costs 3.7 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· 7th of 51
$209
AK $309DC $83.18
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.