How much rates vary
Facilitymedian $468 · 10th to 90th $282 to $1,000Professionalmedian $437 · 10th to 90th $245 to $692
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 $245.47 Median $257.04 Typical High $302.00 | Professional | None | $245.47 | $257.04 | $302.00 |
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 $302.00 Median $426.58 Typical High $707.95 | Professional | None | $302.00 | $426.58 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $602.56 | Professional | None | $346.74 | $478.63 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $6,606.93 | Facility | None | $331.13 | $562.34 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $676.08 | Professional | None | $245.47 | $363.08 | $676.08 |
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $524.81 | Facility | None | $295.12 | $478.63 | $524.81 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $380.19 Typical High $676.08 | Facility | None | $275.42 | $380.19 | $676.08 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $446.68 Typical High $691.83 | Professional | None | $79.43 | $446.68 | $691.83 |
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 $407.38 Median $524.81 Typical High $707.95 | Professional | None | $407.38 | $524.81 | $707.95 |
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 $331.13 Median $489.78 Typical High $758.58 | Professional | None | $331.13 | $489.78 | $758.58 |
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 $123.03 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $186.21 Typical High $229.09 | Professional | 54 · Surgery only | $181.97 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.12 Typical High $30.20 | Professional | 56 · Pre-op care only | $24.55 | $25.12 | $30.20 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $123.03 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $48.98 | $60.26 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | 54 · Surgery only | $181.97 | $181.97 | $229.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $45.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $30.20 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Maryland. 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
$447
AK $851MD $229
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.