How much rates vary
Facilitymedian $178 · 10th to 90th $98 to $5,012Professionalmedian $120 · 10th to 90th $62 to $209
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 $69.18 Median $4,265.80 Typical High $7,943.28 | Facility | None | $69.18 | $4,265.80 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $102.33 Typical High $128.82 | Professional | None | $56.23 | $102.33 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $125.89 Typical High $213.80 | Professional | None | $61.66 | $125.89 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $223.87 | Professional | None | $72.44 | $109.65 | $223.87 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $213.80 Typical High $6,606.93 | Facility | None | $69.18 | $213.80 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $56.23 Median $120.23 Typical High $208.93 | Professional | None | $56.23 | $120.23 | $208.93 |
Pacific Source Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $204.17 | Facility | None | $95.50 | $165.96 | $204.17 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $213.80 Typical High $11,481.54 | Facility | None | $77.62 | $213.80 | $11,481.54 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $131.83 Typical High $223.87 | Professional | None | $69.18 | $131.83 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $2,691.53 | Facility | None | $707.95 | $1,659.59 | $2,691.53 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $177.83 | Professional | None | $81.28 | $141.25 | $177.83 |
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 $72.44 Median $138.04 Typical High $229.09 | Professional | None | $72.44 | $138.04 | $229.09 |
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 $28.18 Median $44.67 Typical High $60.26 | Professional | 52 · Reduced service | $28.18 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $18.20 Typical High $23.99 | Professional | 53 · Discontinued | $11.22 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $67.61 Typical High $89.13 | Professional | 54 · Surgery only | $42.66 | $67.61 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $13.49 Typical High $17.78 | Professional | 55 · Aftercare only | $8.51 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.91 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.62 | $8.91 | $12.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $43.65 Typical High $60.26 | Professional | 52 · Reduced service | $28.18 | $43.65 | $60.26 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $17.38 Typical High $23.99 | Professional | 53 · Discontinued | $11.22 | $17.38 | $23.99 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $66.07 Typical High $89.13 | Professional | 54 · Surgery only | $42.66 | $66.07 | $89.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $13.18 Typical High $18.20 | Professional | 55 · Aftercare only | $8.51 | $13.18 | $18.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.71 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.62 | $8.71 | $12.02 |
Where Oregon sits
The same service costs 2.5 times more in North Carolina 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· 9th of 51
$120
NC $174FL $70.79
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.