How much rates vary
Facilitymedian $708 · 10th to 90th $302 to $1,072Professionalmedian $661 · 10th to 90th $316 to $1,072
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 $316.23 Median $371.54 Typical High $426.58 | Professional | None | $316.23 | $371.54 | $426.58 |
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 $426.58 Median $645.65 Typical High $1,071.52 | Professional | None | $426.58 | $645.65 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $954.99 | Professional | None | $501.19 | $691.83 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $426.58 Median $870.96 Typical High $7,943.28 | Facility | None | $426.58 | $870.96 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $977.24 | Professional | None | $316.23 | $512.86 | $977.24 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $812.83 | Facility | None | $467.74 | $758.58 | $812.83 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $426.58 Typical High $954.99 | Facility | None | $281.84 | $426.58 | $954.99 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $691.83 Typical High $1,071.52 | Professional | None | $79.43 | $691.83 | $1,071.52 |
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 $588.84 Median $758.58 Typical High $1,071.52 | Professional | None | $588.84 | $758.58 | $1,071.52 |
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 $489.78 Median $776.25 Typical High $1,174.90 | Professional | None | $489.78 | $776.25 | $1,174.90 |
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 $158.49 Median $186.21 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $74.13 Typical High $85.11 | Professional | 53 · Discontinued | $64.57 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $275.42 Typical High $323.59 | Professional | 54 · Surgery only | $239.88 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $54.95 Typical High $64.57 | Professional | 55 · Aftercare only | $47.86 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $37.15 Typical High $42.66 | Professional | 56 · Pre-op care only | $31.62 | $37.15 | $42.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $162.18 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $162.18 | $213.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | 53 · Discontinued | $64.57 | $64.57 | $85.11 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $245.47 Typical High $323.59 | Professional | 54 · Surgery only | $239.88 | $245.47 | $323.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $48.98 Typical High $64.57 | Professional | 55 · Aftercare only | $47.86 | $48.98 | $64.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $42.66 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $42.66 |
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· 5th of 51
$692
AK $977KY $339
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.