How much rates vary
Facilitymedian $490 · 10th to 90th $295 to $5,012Professionalmedian $331 · 10th to 90th $158 to $676
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 $144.54 Median $234.42 Typical High $371.54 | Professional | None | $144.54 | $234.42 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $707.95 | Professional | None | $165.96 | $331.13 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $630.96 | Professional | None | $208.93 | $295.12 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $288.40 Median $3,090.30 Typical High $6,606.93 | Facility | None | $288.40 | $3,090.30 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $158.49 Median $323.59 Typical High $575.44 | Professional | None | $158.49 | $323.59 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $501.19 | Facility | None | $295.12 | $467.74 | $501.19 |
Providence Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $27,542.29 | Facility | None | $134.90 | $346.74 | $27,542.29 |
Providence Setting Professional Modifier None Typical Low $144.54 Median $338.84 Typical High $691.83 | Professional | None | $144.54 | $338.84 | $691.83 |
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 $218.78 Median $389.05 Typical High $630.96 | Professional | None | $218.78 | $389.05 | $630.96 |
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 $154.88 Median $316.23 Typical High $676.08 | Professional | None | $154.88 | $316.23 | $676.08 |
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 $72.44 Median $112.20 Typical High $181.97 | Professional | 52 · Reduced service | $72.44 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $44.67 Typical High $74.13 | Professional | 53 · Discontinued | $29.51 | $44.67 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $165.96 Typical High $275.42 | Professional | 54 · Surgery only | $109.65 | $165.96 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $33.88 Typical High $54.95 | Professional | 55 · Aftercare only | $21.88 | $33.88 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $22.39 Typical High $37.15 | Professional | 56 · Pre-op care only | $14.45 | $22.39 | $37.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $91.20 Typical High $181.97 | Professional | 52 · Reduced service | $72.44 | $91.20 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $74.13 | Professional | 53 · Discontinued | $29.51 | $37.15 | $74.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $138.04 Typical High $275.42 | Professional | 54 · Surgery only | $109.65 | $138.04 | $275.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $27.54 Typical High $54.95 | Professional | 55 · Aftercare only | $21.88 | $27.54 | $54.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $18.62 Typical High $37.15 | Professional | 56 · Pre-op care only | $14.45 | $18.62 | $37.15 |
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
$363
AK $513VA $151
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.