How much rates vary
Facilitymedian $162 · 10th to 90th $91 to $1,950Professionalmedian $117 · 10th to 90th $62 to $219
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 $57.54 Median $93.33 Typical High $134.90 | Professional | None | $57.54 | $93.33 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $660.69 | Facility | None | $75.86 | $95.50 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $117.49 Typical High $213.80 | Professional | None | $61.66 | $117.49 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $190.55 | Professional | None | $75.86 | $112.20 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $295.12 Typical High $6,606.93 | Facility | None | $83.18 | $295.12 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $57.54 Median $109.65 Typical High $229.09 | Professional | None | $57.54 | $109.65 | $229.09 |
Pacific Source Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $257.04 | Facility | None | $131.83 | $154.88 | $257.04 |
Providence Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $660.69 | Facility | None | $74.13 | $112.20 | $660.69 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $128.82 Typical High $245.47 | Professional | None | $70.79 | $128.82 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,819.70 | $2,454.71 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $83.18 Median $147.91 Typical High $162.18 | Professional | None | $83.18 | $147.91 | $162.18 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $223.87 | Professional | None | $66.07 | $117.49 | $223.87 |
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 $28.84 Median $38.02 Typical High $54.95 | Professional | 52 · Reduced service | $28.84 | $38.02 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.14 Typical High $21.88 | Professional | 53 · Discontinued | $11.75 | $15.14 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $56.23 Typical High $83.18 | Professional | 54 · Surgery only | $43.65 | $56.23 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $11.22 Typical High $16.60 | Professional | 55 · Aftercare only | $8.71 | $11.22 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.59 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.75 | $7.59 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | 52 · Reduced service | $28.84 | $37.15 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $14.79 Typical High $21.88 | Professional | 53 · Discontinued | $11.75 | $14.79 | $21.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $56.23 Typical High $83.18 | Professional | 54 · Surgery only | $43.65 | $56.23 | $83.18 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $11.22 Typical High $16.60 | Professional | 55 · Aftercare only | $8.71 | $11.22 | $16.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $7.41 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.75 | $7.41 | $10.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $2,754.23 Median $3,630.78 Typical High $4,168.69 | Facility | 50 · Both sides | $2,754.23 | $3,630.78 | $4,168.69 |
Where Oregon sits
The same service costs 3.2 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· 9th of 51
$132
AK $191VA $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.