How much rates vary
Facilitymedian $1,096 · 10th to 90th $661 to $10,000Professionalmedian $1,047 · 10th to 90th $562 to $1,622
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 $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $9,332.54 Typical High $12,882.50 | Facility | None | $870.96 | $9,332.54 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,513.56 | Professional | None | $758.58 | $1,000.00 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,258.93 | Professional | None | $912.01 | $1,047.13 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $7,943.28 | Facility | None | $891.25 | $1,513.56 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,445.44 | Professional | None | $724.44 | $851.14 | $1,445.44 |
Pacific Source Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $1,122.02 | Facility | None | $660.69 | $1,071.52 | $1,122.02 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $8,511.38 Typical High $12,302.69 | Facility | None | $776.25 | $8,511.38 | $12,302.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,047.13 Typical High $1,621.81 | Professional | None | $79.43 | $1,047.13 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,589.25 Median $22,908.68 Typical High $37,153.52 | Facility | None | $12,589.25 | $22,908.68 | $37,153.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,659.59 | Professional | None | $1,047.13 | $1,122.02 | $1,659.59 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,905.46 | Professional | None | $831.76 | $1,174.90 | $1,905.46 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $18,620.87 Median $34,673.69 Typical High $54,954.09 | Facility | 50 · Both sides | $18,620.87 | $34,673.69 | $54,954.09 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in New York. 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· 11th of 51
$1,072
AK $2,239NY $575
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.