How much rates vary
Facilitymedian $178 · 10th to 90th $98 to $6,310Professionalmedian $832 · 10th to 90th $79 to $1,479
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 $562.34 Median $776.25 Typical High $776.25 | Professional | None | $562.34 | $776.25 | $776.25 |
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 $602.56 Median $933.25 Typical High $1,584.89 | Professional | None | $602.56 | $933.25 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,230.27 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $4,786.30 Typical High $7,943.28 | Facility | None | $851.14 | $4,786.30 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $776.25 | Professional | None | $537.03 | $776.25 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $162.18 Typical High $177.83 | Facility | None | $97.72 | $162.18 | $177.83 |
Providence Setting Facility Modifier None Typical Low $758.58 Median $1,819.70 Typical High $37,153.52 | Facility | None | $758.58 | $1,819.70 | $37,153.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $831.76 Typical High $1,698.24 | Professional | None | $79.43 | $831.76 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,174.90 | $1,513.56 |
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 $407.38 Median $575.44 Typical High $1,023.29 | Professional | None | $407.38 | $575.44 | $1,023.29 |
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 $338.84 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $338.84 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $134.90 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $501.19 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $100.00 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $67.61 | $77.62 | $77.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $154.88 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $77.62 |
Where Oregon sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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
$832
AK $2,344HI $224
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.