How much rates vary
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 $213.80 Median $5,623.41 Typical High $8,709.64 | Facility | None | $213.80 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $269.15 | Professional | None | $104.71 | $173.78 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $346.74 Typical High $660.69 | Facility | None | $275.42 | $346.74 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $645.65 | Professional | None | $223.87 | $363.08 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $549.54 | Professional | None | $245.47 | $371.54 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $380.19 Typical High $7,943.28 | Facility | None | $213.80 | $380.19 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $457.09 | Professional | None | $117.49 | $251.19 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $457.09 | Facility | None | $245.47 | $380.19 | $457.09 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $676.08 | Facility | None | $223.87 | $346.74 | $676.08 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $616.60 | Professional | None | $79.43 | $371.54 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,258.93 | Facility | None | $812.83 | $1,122.02 | $1,258.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $630.96 | Professional | None | $288.40 | $436.52 | $630.96 |
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 Typical Low $229.09 Median $389.05 Typical High $645.65 | Professional | None | $229.09 | $389.05 | $645.65 |
2 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 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $199.53 | Professional | 54 · Surgery only | $131.83 | $131.83 | $199.53 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $131.83 Typical High $199.53 | Professional | 54 · Surgery only | $131.83 | $131.83 | $199.53 |
Where Oregon sits
The same service costs 4.2 times more in Alaska than in Kentucky. 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
$363
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.