How much rates vary
Facilitymedian $302 · 10th to 90th $138 to $1,023Professionalmedian $257 · 10th to 90th $135 to $427
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 $5,128.61 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $181.97 | Professional | None | $128.82 | $158.49 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $181.97 | Facility | None | $95.50 | $128.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $426.58 | Professional | None | $181.97 | $257.04 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $380.19 | Professional | None | $213.80 | $295.12 | $380.19 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $316.23 Typical High $7,943.28 | Facility | None | $154.88 | $316.23 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $346.74 | Professional | None | $134.90 | $173.78 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $181.97 Median $302.00 Typical High $316.23 | Facility | None | $181.97 | $302.00 | $316.23 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $371.54 | Facility | None | $107.15 | $151.36 | $371.54 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $281.84 Typical High $426.58 | Professional | None | $79.43 | $281.84 | $426.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $3,235.94 | Facility | None | $1,905.46 | $2,691.53 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $426.58 | Professional | None | $251.19 | $316.23 | $426.58 |
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 $204.17 Median $309.03 Typical High $467.74 | Professional | None | $204.17 | $309.03 | $467.74 |
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 $67.61 Median $77.62 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $30.90 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $117.49 Typical High $123.03 | Professional | 54 · Surgery only | $102.33 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $23.44 Typical High $24.55 | Professional | 55 · Aftercare only | $20.42 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $15.49 Typical High $16.60 | Professional | 56 · Pre-op care only | $13.49 | $15.49 | $16.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $69.18 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $27.54 | $33.11 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $104.71 Typical High $123.03 | Professional | 54 · Surgery only | $102.33 | $104.71 | $123.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.89 Typical High $24.55 | Professional | 55 · Aftercare only | $20.42 | $20.89 | $24.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.80 Typical High $16.60 | Professional | 56 · Pre-op care only | $13.49 | $13.80 | $16.60 |
Where Oregon sits
The same service costs 2.9 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
$269
AK $417KY $145
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.