How much rates vary
Facilitymedian $661 · 10th to 90th $389 to $5,012Professionalmedian $427 · 10th to 90th $224 to $912
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 $181.97 Median $323.59 Typical High $524.81 | Professional | None | $181.97 | $323.59 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $436.52 Typical High $954.99 | Professional | None | $223.87 | $436.52 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $977.24 | Professional | None | $295.12 | $416.87 | $977.24 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $741.31 Typical High $7,943.28 | Facility | None | $316.23 | $741.31 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $741.31 | Professional | None | $223.87 | $389.05 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $630.96 Typical High $691.83 | Facility | None | $389.05 | $630.96 | $691.83 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $524.81 Typical High $912.01 | Facility | None | $275.42 | $524.81 | $912.01 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $426.58 Typical High $933.25 | Professional | None | $79.43 | $426.58 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $537.03 Typical High $851.14 | Professional | None | $295.12 | $537.03 | $851.14 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $4,897.79 Typical High $6,165.95 | Facility | None | $1,122.02 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $912.01 | Professional | None | $204.17 | $426.58 | $912.01 |
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 $100.00 Median $154.88 Typical High $263.03 | Professional | 52 · Reduced service | $100.00 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $63.10 Typical High $104.71 | Professional | 53 · Discontinued | $39.81 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $234.42 Typical High $389.05 | Professional | 54 · Surgery only | $147.91 | $234.42 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $46.77 Typical High $77.62 | Professional | 55 · Aftercare only | $29.51 | $46.77 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $30.90 Typical High $52.48 | Professional | 56 · Pre-op care only | $19.95 | $30.90 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $123.03 Typical High $263.03 | Professional | 52 · Reduced service | $102.33 | $123.03 | $263.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $50.12 Typical High $104.71 | Professional | 53 · Discontinued | $40.74 | $50.12 | $104.71 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $186.21 Typical High $389.05 | Professional | 54 · Surgery only | $151.36 | $186.21 | $389.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $37.15 Typical High $77.62 | Professional | 55 · Aftercare only | $30.90 | $37.15 | $77.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $24.55 Typical High $52.48 | Professional | 56 · Pre-op care only | $20.42 | $24.55 | $52.48 |
Where Oregon sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 8th of 51
$457
AK $676VA $204
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.