How much rates vary
Facilitymedian $631 · 10th to 90th $437 to $11,220Professionalmedian $589 · 10th to 90th $339 to $891
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 $446.68 Median $8,317.64 Typical High $17,378.01 | Facility | None | $446.68 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $489.78 | Professional | None | $363.08 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $4,265.80 Typical High $5,888.44 | Facility | None | $1,000.00 | $4,265.80 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $831.76 | Professional | None | $416.87 | $549.54 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $707.95 | Professional | None | $501.19 | $588.84 | $707.95 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $1,071.52 Typical High $17,378.01 | Facility | None | $436.52 | $1,071.52 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $794.33 | Professional | None | $363.08 | $457.09 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $724.44 | Facility | None | $380.19 | $602.56 | $724.44 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $3,981.07 Typical High $5,888.44 | Facility | None | $691.83 | $3,981.07 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $912.01 | Professional | None | $79.43 | $602.56 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,589.25 Median $17,378.01 Typical High $19,952.62 | Facility | None | $12,589.25 | $17,378.01 | $19,952.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $933.25 | Professional | None | $602.56 | $630.96 | $933.25 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $1,071.52 | Professional | None | $478.63 | $758.58 | $1,071.52 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $72.44 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $269.15 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Where Oregon sits
The same service costs 10.0 times more in Oklahoma 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· 19th of 51
$617
OK $2,884NY $288
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.