How much rates vary
Facilitymedian $186 · 10th to 90th $105 to $6,026Professionalmedian $871 · 10th to 90th $79 to $1,585
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 $776.25 Median $812.83 Typical High $812.83 | Professional | None | $776.25 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,630.27 Typical High $4,786.30 | Facility | None | $758.58 | $2,630.27 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,659.59 | Professional | None | $630.96 | $1,000.00 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,096.48 | $1,288.25 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $4,786.30 Typical High $7,943.28 | Facility | None | $912.01 | $4,786.30 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $173.78 Typical High $194.98 | Facility | None | $104.71 | $173.78 | $194.98 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $37,153.52 | Facility | None | $794.33 | $1,819.70 | $37,153.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $870.96 Typical High $1,778.28 | Professional | None | $79.43 | $870.96 | $1,778.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,230.27 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $912.01 | Professional | None | $380.19 | $512.86 | $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 $354.81 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $70.79 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $616.60 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Where Oregon sits
The same service costs 10.0 times more in Alaska than in Kentucky. 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
$871
AK $2,455KY $245
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.