How much rates vary
Facilitymedian $158 · 10th to 90th $95 to $933Professionalmedian $115 · 10th to 90th $65 to $209
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 $58.88 Median $102.33 Typical High $117.49 | Professional | None | $58.88 | $102.33 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $107.15 Typical High $660.69 | Facility | None | $85.11 | $107.15 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $213.80 | Professional | None | $64.57 | $117.49 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $204.17 | Professional | None | $79.43 | $112.20 | $204.17 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $263.03 Typical High $6,606.93 | Facility | None | $83.18 | $263.03 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $199.53 | Professional | None | $58.88 | $107.15 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $158.49 Typical High $204.17 | Facility | None | $125.89 | $158.49 | $204.17 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $660.69 | Facility | None | $79.43 | $123.03 | $660.69 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $131.83 Typical High $218.78 | Professional | None | $72.44 | $131.83 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,174.90 | Facility | None | $776.25 | $1,023.29 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $165.96 | Professional | None | $85.11 | $151.36 | $165.96 |
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 $64.57 Median $114.82 Typical High $218.78 | Professional | None | $64.57 | $114.82 | $218.78 |
11 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 $29.51 Median $39.81 Typical High $53.70 | Professional | 52 · Reduced service | $29.51 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.85 Typical High $21.88 | Professional | 53 · Discontinued | $11.75 | $15.85 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $60.26 Typical High $81.28 | Professional | 54 · Surgery only | $43.65 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $12.02 Typical High $16.22 | Professional | 55 · Aftercare only | $8.91 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.94 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.89 | $7.94 | $10.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $39.81 Typical High $53.70 | Professional | 52 · Reduced service | $29.51 | $39.81 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.85 Typical High $21.88 | Professional | 53 · Discontinued | $11.75 | $15.85 | $21.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $60.26 Typical High $81.28 | Professional | 54 · Surgery only | $43.65 | $60.26 | $81.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $12.02 Typical High $16.22 | Professional | 55 · Aftercare only | $8.91 | $12.02 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.94 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.89 | $7.94 | $10.72 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,174.90 Median $1,548.82 Typical High $1,737.80 | Facility | 50 · Both sides | $1,174.90 | $1,548.82 | $1,737.80 |
Where Oregon sits
The same service costs 3.0 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
$132
AK $182VA $60.26
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.