How much rates vary
Facilitymedian $1,000 · 10th to 90th $575 to $2,239Professionalmedian $1,000 · 10th to 90th $537 to $1,514
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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $794.33 | Facility | None | $501.19 | $630.96 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,412.54 | Professional | None | $707.95 | $933.25 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,202.26 | Professional | None | $851.14 | $1,000.00 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $1,412.54 Typical High $7,943.28 | Facility | None | $851.14 | $1,412.54 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,380.38 | Professional | None | $676.08 | $812.83 | $1,380.38 |
Pacific Source Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,047.13 | Facility | None | $616.60 | $1,023.29 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $512.86 Median $660.69 Typical High $1,318.26 | Facility | None | $512.86 | $660.69 | $1,318.26 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $977.24 Typical High $1,513.56 | Professional | None | $79.43 | $977.24 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $2,691.53 | Facility | None | $1,659.59 | $2,344.23 | $2,691.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,047.13 | $1,548.82 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,122.02 Typical High $1,819.70 | Professional | None | $776.25 | $1,122.02 | $1,819.70 |
11 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 $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $338.84 | $338.84 | $338.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $138.04 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $67.61 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $2,511.89 Median $3,548.13 Typical High $4,073.80 | Facility | 50 · Both sides | $2,511.89 | $3,548.13 | $4,073.80 |
Where Oregon sits
The same service costs 4.0 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
$1,000
AK $2,089UT $525
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.