How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,023 to $2,138Professionalmedian $1,585 · 10th to 90th $759 to $2,512
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 Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,230.27 | Professional | None | $741.31 | $933.25 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $23,988.33 | Facility | None | $549.54 | $1,000.00 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,584.89 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,698.24 | $2,041.74 |
Moda Health Setting Facility Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $19,054.61 | Facility | None | $1,047.13 | $2,137.96 | $19,054.61 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $2,398.83 | Professional | None | $812.83 | $1,230.27 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,071.52 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,698.24 | $1,819.70 |
Pacific Source Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $251,188.64 Typical High $251,188.64 | Facility | None | $891.25 | $251,188.64 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,698.24 Typical High $2,630.27 | Professional | None | $79.43 | $1,698.24 | $2,630.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,737.80 | $1,819.70 | $2,691.53 |
United Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $11,481.54 | Facility | None | $602.56 | $870.96 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,348.96 | $1,949.84 | $3,162.28 |
6 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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $346.74 Typical High $676.08 | Professional | 80 · Assistant surgeon | $151.36 | $346.74 | $676.08 |
Moda Health Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $309.03 Typical High $407.38 | Professional | AS · PA/NP assist | $112.20 | $309.03 | $407.38 |
Where Oregon sits
The same service costs 10.3 times more in Maine 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.
Physician feeFacility fee
ME $15,629AR $1,524
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.