How much rates vary
Facilitymedian $708 · 10th to 90th $437 to $5,012Professionalmedian $692 · 10th to 90th $372 to $1,072
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 $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,073.80 Typical High $5,623.41 | Facility | None | $660.69 | $4,073.80 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,000.00 | Professional | None | $501.19 | $645.65 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $831.76 | Professional | None | $602.56 | $691.83 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,000.00 Typical High $7,943.28 | Facility | None | $588.84 | $1,000.00 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $954.99 | Professional | None | $478.63 | $562.34 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $724.44 | Facility | None | $436.52 | $707.95 | $724.44 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $3,715.35 Typical High $5,623.41 | Facility | None | $588.84 | $3,715.35 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $691.83 Typical High $1,071.52 | Professional | None | $79.43 | $691.83 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $12,022.64 Typical High $13,803.84 | Facility | None | $5,754.40 | $12,022.64 | $13,803.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $1,096.48 | Professional | None | $691.83 | $724.44 | $1,096.48 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $549.54 Median $776.25 Typical High $1,258.93 | Professional | None | $549.54 | $776.25 | $1,258.93 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,511.38 Median $18,197.01 Typical High $20,892.96 | Facility | 50 · Both sides | $8,511.38 | $18,197.01 | $20,892.96 |
Where Oregon sits
The same service costs 5.2 times more in Alaska than in Delaware. 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
AK $4,868DE $935
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.