How much rates vary
Facilitymedian $219 · 10th to 90th $126 to $5,012Professionalmedian $162 · 10th to 90th $91 to $309
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 $70.79 Median $97.72 Typical High $154.88 | Professional | None | $70.79 | $97.72 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $331.13 | Professional | None | $102.33 | $173.78 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $302.00 | Professional | None | $123.03 | $181.97 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $223.87 Typical High $7,943.28 | Facility | None | $128.82 | $223.87 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $147.91 Typical High $251.19 | Professional | None | $91.20 | $147.91 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $245.47 | Facility | None | $123.03 | $208.93 | $245.47 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $186.21 Typical High $257.04 | Facility | None | $128.82 | $186.21 | $257.04 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $316.23 | Professional | None | $79.43 | $177.83 | $316.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $295.12 | Professional | None | $131.83 | $194.98 | $295.12 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $4,897.79 Typical High $6,165.95 | Facility | None | $1,122.02 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None Typical Low $87.10 Median $177.83 Typical High $316.23 | Professional | None | $87.10 | $177.83 | $316.23 |
10 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 $44.67 Median $54.95 Typical High $77.62 | Professional | 52 · Reduced service | $44.67 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.88 Typical High $30.90 | Professional | 53 · Discontinued | $17.78 | $21.88 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $81.28 Typical High $117.49 | Professional | 54 · Surgery only | $67.61 | $81.28 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.22 Typical High $23.44 | Professional | 55 · Aftercare only | $13.49 | $16.22 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.96 Typical High $15.49 | Professional | 56 · Pre-op care only | $8.91 | $10.96 | $15.49 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $52.48 Typical High $77.62 | Professional | 52 · Reduced service | $44.67 | $52.48 | $77.62 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $30.90 | Professional | 53 · Discontinued | $17.78 | $20.89 | $30.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $79.43 Typical High $117.49 | Professional | 54 · Surgery only | $67.61 | $79.43 | $117.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $15.85 Typical High $23.44 | Professional | 55 · Aftercare only | $13.49 | $15.85 | $23.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.47 Typical High $15.49 | Professional | 56 · Pre-op care only | $8.91 | $10.47 | $15.49 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 6th of 51
$174
AK $282FL $87.10
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.