How much rates vary
Facilitymedian $832 · 10th to 90th $562 to $6,607Professionalmedian $741 · 10th to 90th $457 to $1,148
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 $457.09 Median $478.63 Typical High $562.34 | Professional | None | $457.09 | $478.63 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $5,128.61 Typical High $6,918.31 | Facility | None | $660.69 | $5,128.61 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,174.90 | Professional | None | $501.19 | $724.44 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,071.52 | Professional | None | $575.44 | $794.33 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $6,606.93 | Facility | None | $616.60 | $1,023.29 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $1,096.48 | Professional | None | $457.09 | $588.84 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $851.14 | Facility | None | $501.19 | $812.83 | $851.14 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $4,168.69 Typical High $6,918.31 | Facility | None | $630.96 | $4,168.69 | $6,918.31 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $776.25 Typical High $1,148.15 | Professional | None | $79.43 | $776.25 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,589.25 Median $17,782.79 Typical High $20,417.38 | Facility | None | $12,589.25 | $17,782.79 | $20,417.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,148.15 | Professional | None | $660.69 | $851.14 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,230.27 | Professional | None | $562.34 | $831.76 | $1,230.27 |
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 $229.09 Median $229.09 Typical High $281.84 | Professional | 52 · Reduced service | $229.09 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $426.58 | Professional | 54 · Surgery only | $338.84 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $56.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $281.84 | Professional | 52 · Reduced service | $229.09 | $229.09 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $112.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $426.58 | Professional | 54 · Surgery only | $338.84 | $338.84 | $426.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $85.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $56.23 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $18,620.87 Median $26,915.35 Typical High $30,199.52 | Facility | 50 · Both sides | $18,620.87 | $26,915.35 | $30,199.52 |
Where Oregon sits
The same service costs 6.3 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $7,350MT $1,166
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.