How much rates vary
Facilitymedian $209 · 10th to 90th $132 to $708Professionalmedian $186 · 10th to 90th $102 to $339
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $204.17 | Professional | None | $91.20 | $117.49 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $660.69 | Facility | None | $112.20 | $141.25 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $354.81 | Professional | None | $131.83 | $208.93 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $302.00 | Professional | None | $154.88 | $213.80 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $147.91 Median $257.04 Typical High $7,943.28 | Facility | None | $147.91 | $257.04 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $331.13 | Professional | None | $97.72 | $147.91 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $251.19 | Facility | None | $138.04 | $208.93 | $251.19 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $707.95 | Facility | None | $112.20 | $158.49 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $204.17 Typical High $338.84 | Professional | None | $79.43 | $204.17 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $794.33 | Facility | None | $489.78 | $691.83 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $338.84 | Professional | None | $173.78 | $245.47 | $338.84 |
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 $141.25 Median $223.87 Typical High $371.54 | Professional | None | $141.25 | $223.87 | $371.54 |
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 $52.48 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $52.48 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $29.51 | Professional | 53 · Discontinued | $20.89 | $22.39 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $83.18 Typical High $112.20 | Professional | 54 · Surgery only | $79.43 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $16.60 Typical High $22.39 | Professional | 55 · Aftercare only | $15.85 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $11.22 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.47 | $11.22 | $14.79 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $52.48 | $56.23 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $29.51 | Professional | 53 · Discontinued | $20.89 | $20.89 | $29.51 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $112.20 | Professional | 54 · Surgery only | $79.43 | $79.43 | $112.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $22.39 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $22.39 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $14.79 |
Where Oregon sits
The same service costs 3.7 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· 7th of 51
$204
AK $372KY $100
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.