How much rates vary
Facilitymedian $501 · 10th to 90th $302 to $5,012Professionalmedian $331 · 10th to 90th $162 to $692
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 $275.42 Median $4,677.35 Typical High $7,943.28 | Facility | None | $275.42 | $4,677.35 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $234.42 Typical High $380.19 | Professional | None | $147.91 | $234.42 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $724.44 | Professional | None | $169.82 | $331.13 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $645.65 | Professional | None | $208.93 | $295.12 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $7,943.28 | Facility | None | $229.09 | $602.56 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $162.18 Median $316.23 Typical High $575.44 | Professional | None | $162.18 | $316.23 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $302.00 Median $478.63 Typical High $512.86 | Facility | None | $302.00 | $478.63 | $512.86 |
Providence Setting Facility Modifier None Typical Low $138.04 Median $354.81 Typical High $27,542.29 | Facility | None | $138.04 | $354.81 | $27,542.29 |
Providence Setting Professional Modifier None Typical Low $147.91 Median $346.74 Typical High $724.44 | Professional | None | $147.91 | $346.74 | $724.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,162.28 | Facility | None | $2,041.74 | $2,754.23 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $398.11 Typical High $645.65 | Professional | None | $223.87 | $398.11 | $645.65 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $4,897.79 | Facility | None | $2,238.72 | $3,548.13 | $4,897.79 |
United Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $691.83 | Professional | None | $158.49 | $323.59 | $691.83 |
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 $74.13 Median $114.82 Typical High $190.55 | Professional | 52 · Reduced service | $74.13 | $114.82 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $45.71 Typical High $75.86 | Professional | 53 · Discontinued | $29.51 | $45.71 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $173.78 Typical High $281.84 | Professional | 54 · Surgery only | $112.20 | $173.78 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $34.67 Typical High $56.23 | Professional | 55 · Aftercare only | $22.39 | $34.67 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.91 Typical High $38.02 | Professional | 56 · Pre-op care only | $14.79 | $22.91 | $38.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $93.33 Typical High $190.55 | Professional | 52 · Reduced service | $74.13 | $93.33 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $75.86 | Professional | 53 · Discontinued | $29.51 | $37.15 | $75.86 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $141.25 Typical High $281.84 | Professional | 54 · Surgery only | $112.20 | $141.25 | $281.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $28.18 Typical High $56.23 | Professional | 55 · Aftercare only | $22.39 | $28.18 | $56.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $18.62 Typical High $38.02 | Professional | 56 · Pre-op care only | $14.79 | $18.62 | $38.02 |
Where Oregon sits
The same service costs 3.4 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· 7th of 51
$372
AK $525VA $155
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.