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 $190.55 Median $676.08 Typical High $1,096.48 | Professional | None | $190.55 | $676.08 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,230.27 Typical High $1,659.59 | Facility | None | $660.69 | $1,230.27 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $758.58 Typical High $2,089.30 | Professional | None | $229.09 | $758.58 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $1,862.09 | Professional | None | $275.42 | $416.87 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $295.12 Median $1,698.24 Typical High $7,943.28 | Facility | None | $295.12 | $1,698.24 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $851.14 Typical High $1,479.11 | Professional | None | $208.93 | $851.14 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $1,513.56 | Facility | None | $851.14 | $1,380.38 | $1,513.56 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $1,778.28 | Facility | None | $398.11 | $1,230.27 | $1,778.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $446.68 Typical High $2,041.74 | Professional | None | $79.43 | $446.68 | $2,041.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $8,128.31 | Facility | None | $5,248.07 | $7,244.36 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $302.00 Median $549.54 Typical High $1,995.26 | Professional | None | $302.00 | $549.54 | $1,995.26 |
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 $269.15 Median $691.83 Typical High $2,089.30 | Professional | None | $269.15 | $691.83 | $2,089.30 |
3 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 $154.88 Median $190.55 Typical High $812.83 | Professional | 54 · Surgery only | $154.88 | $190.55 | $812.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $812.83 | Professional | 54 · Surgery only | $154.88 | $154.88 | $812.83 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,943.28 Median $10,715.19 Typical High $12,302.69 | Facility | 50 · Both sides | $7,943.28 | $10,715.19 | $12,302.69 |
Where Oregon sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 5th of 51
$1,122
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.