How much rates vary
Facilitymedian $661 · 10th to 90th $468 to $7,586Professionalmedian $646 · 10th to 90th $347 to $1,000
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 $5,128.61 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,235.94 Typical High $4,365.16 | Facility | None | $1,000.00 | $3,235.94 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $933.25 | Professional | None | $467.74 | $602.56 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $776.25 | Professional | None | $562.34 | $645.65 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $17,378.01 | Facility | None | $602.56 | $933.25 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $912.01 | Professional | None | $446.68 | $524.81 | $912.01 |
Pacific Source Setting Facility Modifier None Typical Low $398.11 Median $660.69 Typical High $676.08 | Facility | None | $398.11 | $660.69 | $676.08 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $2,951.21 Typical High $4,365.16 | Facility | None | $691.83 | $2,951.21 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $1,000.00 | Professional | None | $79.43 | $645.65 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $9,332.54 Typical High $13,803.84 | Facility | None | $5,248.07 | $9,332.54 | $13,803.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $1,000.00 | Professional | None | $645.65 | $676.08 | $1,000.00 |
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 $501.19 Median $724.44 Typical High $1,174.90 | Professional | None | $501.19 | $724.44 | $1,174.90 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $44.67 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,943.28 Median $14,125.38 Typical High $20,892.96 | Facility | 50 · Both sides | $7,943.28 | $14,125.38 | $20,892.96 |
Where Oregon sits
The same service costs 4.7 times more in Alaska 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· 18th of 51
$661
AK $1,622NY $347
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.