How much rates vary
Facilitymedian $195 · 10th to 90th $115 to $5,012Professionalmedian $174 · 10th to 90th $105 to $275
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 $100.00 Median $112.20 Typical High $151.36 | Professional | None | $100.00 | $112.20 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $288.40 | Professional | None | $114.82 | $177.83 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $281.84 | Professional | None | $144.54 | $213.80 | $281.84 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $7,943.28 | Facility | None | $158.49 | $213.80 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $257.04 | Professional | None | $112.20 | $151.36 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $208.93 | Facility | None | $112.20 | $186.21 | $208.93 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $213.80 Typical High $257.04 | Facility | None | $151.36 | $213.80 | $257.04 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $281.84 | Professional | None | $79.43 | $177.83 | $281.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $269.15 | Professional | None | $151.36 | $204.17 | $269.15 |
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 $87.10 Median $177.83 Typical High $295.12 | Professional | None | $87.10 | $177.83 | $295.12 |
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 $50.12 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $50.12 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $19.95 | $22.39 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $83.18 Typical High $112.20 | Professional | 54 · Surgery only | $74.13 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $16.98 Typical High $22.39 | Professional | 55 · Aftercare only | $14.79 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.22 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.00 | $11.22 | $15.14 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $50.12 | $56.23 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $19.95 | $22.39 | $30.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $83.18 Typical High $112.20 | Professional | 54 · Surgery only | $74.13 | $83.18 | $112.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $16.98 Typical High $22.39 | Professional | 55 · Aftercare only | $14.79 | $16.98 | $22.39 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.22 Typical High $15.14 | Professional | 56 · Pre-op care only | $10.00 | $11.22 | $15.14 |
Where Oregon sits
The same service costs 3.8 times more in Alaska 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· 7th of 51
$178
AK $324FL $85.11
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.