How much rates vary
Facilitymedian $479 · 10th to 90th $269 to $17,378Professionalmedian $832 · 10th to 90th $479 to $1,288
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 $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $14,791.08 Typical High $19,952.62 | Facility | None | $1,000.00 | $14,791.08 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,202.26 | Professional | None | $575.44 | $724.44 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,148.15 | Professional | None | $812.83 | $933.25 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $7,943.28 Typical High $17,378.01 | Facility | None | $524.81 | $7,943.28 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Pacific Source Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $478.63 | Facility | None | $263.03 | $436.52 | $478.63 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $13,803.84 Typical High $19,054.61 | Facility | None | $758.58 | $13,803.84 | $19,054.61 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $724.44 Typical High $1,288.25 | Professional | None | $79.43 | $724.44 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,125.38 Median $22,908.68 Typical High $37,153.52 | Facility | None | $14,125.38 | $22,908.68 | $37,153.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,318.26 | Professional | None | $851.14 | $891.25 | $1,318.26 |
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 $562.34 Median $812.83 Typical High $1,548.82 | Professional | None | $562.34 | $812.83 | $1,548.82 |
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 $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 $363.08 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
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 |
Where Oregon sits
The same service costs 5.9 times more in Arkansas 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· 24th of 51
$776
AR $1,995NY $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.