How much rates vary
Facilitymedian $794 · 10th to 90th $447 to $13,804Professionalmedian $240 · 10th to 90th $100 to $1,096
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 $95.50 Median $371.54 Typical High $758.58 | Professional | None | $95.50 | $371.54 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $380.19 Typical High $1,148.15 | Professional | None | $100.00 | $380.19 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $1,071.52 | Professional | None | $125.89 | $181.97 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $977.24 Typical High $7,943.28 | Facility | None | $151.36 | $977.24 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $100.00 Median $371.54 Typical High $851.14 | Professional | None | $100.00 | $371.54 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $831.76 | Facility | None | $446.68 | $741.31 | $831.76 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $691.83 Typical High $11,481.54 | Facility | None | $100.00 | $691.83 | $11,481.54 |
Providence Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $1,174.90 | Professional | None | $97.72 | $208.93 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $12,022.64 Typical High $15,135.61 | Facility | None | $9,332.54 | $12,022.64 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $501.19 Typical High $1,047.13 | Professional | None | $131.83 | $501.19 | $1,047.13 |
United Setting Facility Modifier None Typical Low $11,481.54 Median $20,892.96 Typical High $27,542.29 | Facility | None | $11,481.54 | $20,892.96 | $27,542.29 |
United Setting Professional Modifier None Typical Low $107.15 Median $316.23 Typical High $1,096.48 | Professional | None | $107.15 | $316.23 | $1,096.48 |
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 $45.71 Median $102.33 Typical High $346.74 | Professional | 52 · Reduced service | $45.71 | $102.33 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $40.74 Typical High $138.04 | Professional | 53 · Discontinued | $18.20 | $40.74 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $154.88 Typical High $512.86 | Professional | 54 · Surgery only | $69.18 | $154.88 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $30.90 Typical High $104.71 | Professional | 55 · Aftercare only | $13.80 | $30.90 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $20.42 Typical High $69.18 | Professional | 56 · Pre-op care only | $9.12 | $20.42 | $69.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $70.79 Typical High $346.74 | Professional | 52 · Reduced service | $45.71 | $70.79 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $28.18 Typical High $138.04 | Professional | 53 · Discontinued | $18.20 | $28.18 | $138.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $107.15 Typical High $512.86 | Professional | 54 · Surgery only | $69.18 | $107.15 | $512.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $21.38 Typical High $104.71 | Professional | 55 · Aftercare only | $13.80 | $21.38 | $104.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $14.13 Typical High $69.18 | Professional | 56 · Pre-op care only | $9.12 | $14.13 | $69.18 |
Where Oregon sits
The same service costs 5.6 times more in Wisconsin 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.
Oregon· 6th of 51
$457
WI $617MD $110
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.