How much rates vary
Facilitymedian $182 · 10th to 90th $22 to $251Professionalmedian $240 · 10th to 90th $174 to $355
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 (both parts) Typical Low $162.18 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $162.18 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $147.91 | $154.88 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $15.85 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $28.84 Typical High $61.66 | Facility | None | $23.44 | $28.84 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $165.96 | $218.78 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $194.98 Typical High $302.00 | Professional | 26 · Professional part | $151.36 | $194.98 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $42.66 | Professional | TC · Technical part | $20.42 | $27.54 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $323.59 | Professional | None | $234.42 | $269.15 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $234.42 Typical High $281.84 | Professional | 26 · Professional part | $204.17 | $234.42 | $281.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $41.69 | Professional | TC · Technical part | $28.18 | $32.36 | $41.69 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $7,943.28 | Facility | None | $194.98 | $323.59 | $7,943.28 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $173.78 | $204.17 | $331.13 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $19.95 | $19.95 | $19.95 |
Pacific Source Setting Facility Modifier None Typical Low $20.89 Median $181.97 Typical High $239.88 | Facility | None | $20.89 | $181.97 | $239.88 |
Providence Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $288.40 | Facility | None | $23.99 | $31.62 | $288.40 |
Providence Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $173.78 | $251.19 | $354.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $213.80 Typical High $309.03 | Professional | 26 · Professional part | $151.36 | $213.80 | $309.03 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $16.60 | $26.30 | $42.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Facility | None | $691.83 | $851.14 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $229.09 | $245.47 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $213.80 Typical High $316.23 | Professional | 26 · Professional part | $204.17 | $213.80 | $316.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $28.18 | $29.51 | $43.65 |
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 (both parts) Typical Low $177.83 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $177.83 | $251.19 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $229.09 Typical High $371.54 | Professional | 26 · Professional part | $162.18 | $229.09 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.99 Typical High $50.12 | Professional | TC · Technical part | $17.78 | $23.99 | $50.12 |
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 $81.28 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $81.28 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $32.36 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $24.55 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $16.22 | $17.38 | $17.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $87.10 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $128.82 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $26.30 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $17.38 |
Where Oregon sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 14th of 51
$204
AK $490AL $105
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.