How much rates vary
Facilitymedian $759 · 10th to 90th $457 to $5,623Professionalmedian $661 · 10th to 90th $331 to $1,072
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 $407.38 Median $5,623.41 Typical High $8,709.64 | Facility | None | $407.38 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $467.74 | Professional | None | $234.42 | $331.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,265.80 Typical High $5,888.44 | Facility | None | $891.25 | $4,265.80 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $1,122.02 | Professional | None | $416.87 | $676.08 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $977.24 | Professional | None | $457.09 | $660.69 | $977.24 |
Moda Health Setting Facility Modifier None Typical Low $407.38 Median $707.95 Typical High $8,709.64 | Facility | None | $407.38 | $707.95 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $831.76 | Professional | None | $331.13 | $467.74 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $794.33 | Facility | None | $457.09 | $724.44 | $794.33 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $3,467.37 Typical High $5,888.44 | Facility | None | $501.19 | $3,467.37 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $676.08 Typical High $1,071.52 | Professional | None | $79.43 | $676.08 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,585.78 Median $17,378.01 Typical High $19,952.62 | Facility | None | $7,585.78 | $17,378.01 | $19,952.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,096.48 | Professional | None | $537.03 | $758.58 | $1,096.48 |
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 $467.74 Median $724.44 Typical High $1,148.15 | Professional | None | $467.74 | $724.44 | $1,148.15 |
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 $165.96 Median $165.96 Typical High $234.42 | Professional | 52 · Reduced service | $165.96 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | 53 · Discontinued | $66.07 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | 54 · Surgery only | $245.47 | $245.47 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $46.77 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | 52 · Reduced service | $165.96 | $165.96 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | 53 · Discontinued | $66.07 | $66.07 | $93.33 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | 54 · Surgery only | $245.47 | $245.47 | $346.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $69.18 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $69.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $46.77 |
Where Oregon sits
The same service costs 3.9 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· 6th of 51
$692
AK $1,380NY $355
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.