How much rates vary
Facilitymedian $692 · 10th to 90th $468 to $6,607Professionalmedian $661 · 10th to 90th $363 to $1,023
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 $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
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 $478.63 Median $630.96 Typical High $954.99 | Professional | None | $478.63 | $630.96 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $794.33 | Professional | None | $575.44 | $676.08 | $794.33 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $954.99 Typical High $7,943.28 | Facility | None | $562.34 | $954.99 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $954.99 | Professional | None | $457.09 | $549.54 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $676.08 Typical High $707.95 | Facility | None | $416.87 | $676.08 | $707.95 |
Providence Setting Facility Modifier None Typical Low $562.34 Median $4,677.35 Typical High $6,918.31 | Facility | None | $562.34 | $4,677.35 | $6,918.31 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $660.69 Typical High $1,023.29 | Professional | None | $79.43 | $660.69 | $1,023.29 |
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 $707.95 Typical High $1,047.13 | Professional | None | $660.69 | $707.95 | $1,047.13 |
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 $524.81 Median $758.58 Typical High $1,202.26 | Professional | None | $524.81 | $758.58 | $1,202.26 |
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 $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
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 7.8 times more in Oklahoma 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· 17th of 51
$676
OK $2,630NY $339
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.