How much rates vary
Facilitymedian $603 · 10th to 90th $363 to $5,012Professionalmedian $398 · 10th to 90th $204 to $832
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 $288.40 Typical High $489.78 | Professional | None | $181.97 | $288.40 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $870.96 | Professional | None | $204.17 | $407.38 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $870.96 | Professional | None | $275.42 | $389.05 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $707.95 Typical High $7,943.28 | Facility | None | $302.00 | $707.95 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $426.58 Typical High $724.44 | Professional | None | $208.93 | $426.58 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $645.65 | Facility | None | $371.54 | $602.56 | $645.65 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $831.76 | Facility | None | $257.04 | $478.63 | $831.76 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $398.11 Typical High $870.96 | Professional | None | $79.43 | $398.11 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $776.25 | Professional | None | $269.15 | $478.63 | $776.25 |
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 $190.55 Median $398.11 Typical High $831.76 | Professional | None | $190.55 | $398.11 | $831.76 |
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 $91.20 Median $141.25 Typical High $245.47 | Professional | 52 · Reduced service | $91.20 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $56.23 Typical High $97.72 | Professional | 53 · Discontinued | $36.31 | $56.23 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $213.80 Typical High $363.08 | Professional | 54 · Surgery only | $134.90 | $213.80 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $42.66 Typical High $74.13 | Professional | 55 · Aftercare only | $26.92 | $42.66 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $28.18 Typical High $48.98 | Professional | 56 · Pre-op care only | $18.20 | $28.18 | $48.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $117.49 Typical High $245.47 | Professional | 52 · Reduced service | $95.50 | $117.49 | $245.47 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $97.72 | Professional | 53 · Discontinued | $38.90 | $46.77 | $97.72 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $173.78 Typical High $363.08 | Professional | 54 · Surgery only | $144.54 | $173.78 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $34.67 Typical High $74.13 | Professional | 55 · Aftercare only | $28.84 | $34.67 | $74.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $23.44 Typical High $48.98 | Professional | 56 · Pre-op care only | $19.05 | $23.44 | $48.98 |
Where Oregon sits
The same service costs 3.5 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
$447
AK $661VA $186
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.