How much rates vary
Facilitymedian $324 · 10th to 90th $186 to $5,129Professionalmedian $240 · 10th to 90th $132 to $417
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 $169.82 Median $5,623.41 Typical High $8,709.64 | Facility | None | $169.82 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $288.40 | Professional | None | $125.89 | $144.54 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,691.53 Typical High $3,630.78 | Facility | None | $891.25 | $2,691.53 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $436.52 | Professional | None | $131.83 | $245.47 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $467.74 | Professional | None | $158.49 | $239.88 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $169.82 Median $331.13 Typical High $7,943.28 | Facility | None | $169.82 | $331.13 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $138.04 Median $229.09 Typical High $371.54 | Professional | None | $138.04 | $229.09 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $354.81 | Facility | None | $177.83 | $288.40 | $354.81 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $2,187.76 Typical High $3,630.78 | Facility | None | $223.87 | $2,187.76 | $3,630.78 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $234.42 Typical High $446.68 | Professional | None | $79.43 | $234.42 | $446.68 |
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 $173.78 Median $295.12 Typical High $354.81 | Professional | None | $173.78 | $295.12 | $354.81 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,022.64 | Facility | None | $1,230.27 | $1,862.09 | $12,022.64 |
United Setting Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $457.09 | Professional | None | $151.36 | $245.47 | $457.09 |
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 $69.18 Median $75.86 Typical High $144.54 | Professional | 52 · Reduced service | $69.18 | $75.86 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $57.54 | Professional | 53 · Discontinued | $27.54 | $30.90 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $114.82 Typical High $213.80 | Professional | 54 · Surgery only | $102.33 | $114.82 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $22.91 Typical High $42.66 | Professional | 55 · Aftercare only | $20.42 | $22.91 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $15.14 Typical High $28.84 | Professional | 56 · Pre-op care only | $13.80 | $15.14 | $28.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $72.44 Typical High $144.54 | Professional | 52 · Reduced service | $69.18 | $72.44 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $57.54 | Professional | 53 · Discontinued | $27.54 | $28.84 | $57.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $109.65 Typical High $213.80 | Professional | 54 · Surgery only | $102.33 | $109.65 | $213.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.88 Typical High $42.66 | Professional | 55 · Aftercare only | $20.42 | $21.88 | $42.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.45 Typical High $28.84 | Professional | 56 · Pre-op care only | $13.80 | $14.45 | $28.84 |
Where Oregon sits
The same service costs 3.6 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· 6th of 51
$257
AK $407DC $112
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.