How much rates vary
Facilitymedian $813 · 10th to 90th $550 to $1,000Professionalmedian $851 · 10th to 90th $457 to $1,349
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 $549.54 Median $588.84 Typical High $588.84 | Professional | None | $549.54 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $2,137.96 | Facility | None | $549.54 | $870.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,202.26 | Professional | None | $588.84 | $794.33 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,047.13 | Professional | None | $758.58 | $870.96 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $645.65 Median $933.25 Typical High $7,943.28 | Facility | None | $645.65 | $933.25 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $1,230.27 | Professional | None | $588.84 | $707.95 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $537.03 Median $794.33 Typical High $933.25 | Facility | None | $537.03 | $794.33 | $933.25 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $831.76 Typical High $1,071.52 | Facility | None | $549.54 | $831.76 | $1,071.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $794.33 Typical High $1,348.96 | Professional | None | $79.43 | $794.33 | $1,348.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,412.54 | Professional | None | $891.25 | $933.25 | $1,412.54 |
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 $676.08 Median $891.25 Typical High $1,621.81 | Professional | None | $676.08 | $891.25 | $1,621.81 |
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 $275.42 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $275.42 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $112.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $416.87 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $83.18 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $54.95 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Where Oregon sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 11th of 51
$813
AK $1,905UT $447
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.