How much rates vary
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 $117.49 Median $173.78 Typical High $173.78 | Professional | None | $117.49 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $1,047.13 | Facility | None | $602.56 | $891.25 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $181.97 Typical High $309.03 | Professional | None | $147.91 | $181.97 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $269.15 | Professional | None | $177.83 | $218.78 | $269.15 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $7,943.28 | Facility | None | $218.78 | $331.13 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $288.40 | Professional | None | $173.78 | $177.83 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $234.42 | Facility | None | $141.25 | $223.87 | $234.42 |
Providence Setting Facility Modifier None Typical Low $165.96 Median $281.84 Typical High $1,023.29 | Facility | None | $165.96 | $281.84 | $1,023.29 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $218.78 Typical High $338.84 | Professional | None | $79.43 | $218.78 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $309.03 | Professional | None | $223.87 | $234.42 | $309.03 |
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 $173.78 Median $218.78 Typical High $363.08 | Professional | None | $173.78 | $218.78 | $363.08 |
2 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 54 · Surgery only Typical Low $93.33 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $93.33 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $95.50 | $128.82 | $128.82 |
Where Oregon sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$219
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.