How much rates vary
Facilitymedian $891 · 10th to 90th $309 to $1,202Professionalmedian $955 · 10th to 90th $513 to $1,514
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 $524.81 Median $537.03 Typical High $660.69 | Professional | None | $524.81 | $537.03 | $660.69 |
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 $691.83 Median $891.25 Typical High $1,380.38 | Professional | None | $691.83 | $891.25 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,148.15 | Professional | None | $831.76 | $954.99 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $7,943.28 | Facility | None | $758.58 | $1,445.44 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,348.96 | Professional | None | $537.03 | $758.58 | $1,348.96 |
Pacific Source Setting Facility Modifier None Typical Low $616.60 Median $933.25 Typical High $1,047.13 | Facility | None | $616.60 | $933.25 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $1,318.26 | Facility | None | $281.84 | $398.11 | $1,318.26 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $954.99 Typical High $1,513.56 | Professional | None | $79.43 | $954.99 | $1,513.56 |
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 $1,000.00 Median $1,047.13 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,047.13 | $1,548.82 |
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 $776.25 Median $1,071.52 Typical High $1,778.28 | Professional | None | $776.25 | $1,071.52 | $1,778.28 |
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 $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $407.38 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Arkansas. 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· 9th of 51
$912
AK $1,380AR $427
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.