How much rates vary
Facilitymedian $63 · 10th to 90th $37 to $813Professionalmedian $51 · 10th to 90th $33 to $81
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $42.66 | Professional | None | $25.12 | $33.11 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $891.25 | Facility | None | $26.30 | $33.11 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $81.28 | Professional | None | $33.88 | $46.77 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $83.18 | Professional | None | $41.69 | $57.54 | $83.18 |
Moda Health Setting Facility Modifier None Typical Low $42.66 Median $85.11 Typical High $8,709.64 | Facility | None | $42.66 | $85.11 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $75.86 | Professional | None | $33.11 | $42.66 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $42.66 Median $61.66 Typical High $75.86 | Facility | None | $42.66 | $61.66 | $75.86 |
Pacific Source Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | None | $45.71 | $45.71 | $75.86 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $40.74 Typical High $912.01 | Facility | None | $26.92 | $40.74 | $912.01 |
Providence Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $83.18 | Professional | None | $37.15 | $60.26 | $83.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,202.26 | Facility | None | $812.83 | $1,047.13 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $70.79 | Professional | None | $46.77 | $61.66 | $70.79 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $87.10 | Professional | None | $36.31 | $53.70 | $87.10 |
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 $16.60 Median $16.60 Typical High $21.38 | Professional | 52 · Reduced service | $16.60 | $16.60 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 54 · Surgery only | $25.12 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $6.46 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.31 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.31 | $3.31 | $4.27 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $21.38 | Professional | 52 · Reduced service | $16.60 | $16.60 | $21.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.51 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 54 · Surgery only | $25.12 | $25.12 | $32.36 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $6.46 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $6.46 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.31 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.31 | $3.31 | $4.27 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$54.95
AK $100MD $28.84
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.