How much rates vary
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 $48.98 Median $69.18 Typical High $100.00 | Professional | None | $48.98 | $69.18 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $125.89 | Facility | None | $70.79 | $93.33 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $104.71 Typical High $208.93 | Professional | None | $54.95 | $104.71 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $181.97 | Professional | None | $64.57 | $97.72 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $7,943.28 | Facility | None | $70.79 | $141.25 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $48.98 Median $100.00 Typical High $151.36 | Professional | None | $48.98 | $100.00 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $120.23 Typical High $147.91 | Facility | None | $77.62 | $120.23 | $147.91 |
Providence Setting Facility Modifier None Typical Low $64.57 Median $95.50 Typical High $158.49 | Facility | None | $64.57 | $95.50 | $158.49 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $199.53 | Professional | None | $61.66 | $97.72 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,905.46 | Facility | None | $691.83 | $933.25 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $125.89 Typical High $194.98 | Professional | None | $74.13 | $125.89 | $194.98 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $64.57 Median $112.20 Typical High $208.93 | Professional | None | $64.57 | $112.20 | $208.93 |
2 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 54 · Surgery only Typical Low $37.15 Median $41.69 Typical High $74.13 | Professional | 54 · Surgery only | $37.15 | $41.69 | $74.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $37.15 Typical High $74.13 | Professional | 54 · Surgery only | $37.15 | $37.15 | $74.13 |
Where Oregon sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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
$112
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.