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 $30.90 Median $134.90 Typical High $234.42 | Professional | None | $30.90 | $134.90 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $144.54 Typical High $389.05 | Professional | None | $42.66 | $144.54 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $346.74 | Professional | None | $52.48 | $74.13 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $66.07 Median $741.31 Typical High $7,943.28 | Facility | None | $66.07 | $741.31 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $295.12 | Professional | None | $33.11 | $89.13 | $295.12 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $309.03 | Facility | None | $173.78 | $263.03 | $309.03 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $229.09 Typical High $467.74 | Facility | None | $58.88 | $229.09 | $467.74 |
Providence Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $380.19 | Professional | None | $48.98 | $87.10 | $380.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $56.23 Median $165.96 Typical High $346.74 | Professional | None | $56.23 | $165.96 | $346.74 |
United Setting Facility Modifier None Typical Low $758.58 Median $4,897.79 Typical High $6,165.95 | Facility | None | $758.58 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None Typical Low $39.81 Median $131.83 Typical High $380.19 | Professional | None | $39.81 | $131.83 | $380.19 |
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 $30.90 Median $100.00 Typical High $177.83 | Professional | 54 · Surgery only | $30.90 | $100.00 | $177.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $102.33 Typical High $177.83 | Professional | 54 · Surgery only | $30.90 | $102.33 | $177.83 |
Where Oregon sits
The same service costs 4.7 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· 10th of 51
$170
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.