How much rates vary
Facilitymedian $447 · 10th to 90th $166 to $4,898Professionalmedian $302 · 10th to 90th $200 to $479
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 $199.53 Median $199.53 Typical High $251.19 | Professional | None | $199.53 | $199.53 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $660.69 | Facility | None | $147.91 | $186.21 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $489.78 | Professional | None | $204.17 | $302.00 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $446.68 | Professional | None | $239.88 | $331.13 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $7,943.28 | Facility | None | $251.19 | $389.05 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $446.68 | Professional | None | $199.53 | $251.19 | $446.68 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $660.69 | Facility | None | $151.36 | $234.42 | $660.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $309.03 Typical High $478.63 | Professional | None | $79.43 | $309.03 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $3,235.94 | Facility | None | $1,905.46 | $2,691.53 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $467.74 | Professional | None | $269.15 | $346.74 | $467.74 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $218.78 Median $338.84 Typical High $512.86 | Professional | None | $218.78 | $338.84 | $512.86 |
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 $100.00 Median $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | 54 · Surgery only | $147.91 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $25.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $100.00 | $125.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $39.81 | $50.12 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | 54 · Surgery only | $147.91 | $147.91 | $186.21 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $38.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $25.12 |
Where Oregon sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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
$316
AK $575PA $170
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.