How much rates vary
Facilitymedian $145 · 10th to 90th $91 to $1,660Professionalmedian $110 · 10th to 90th $60 to $186
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 $81.28 Median $218.78 Typical High $6,606.93 | Facility | None | $81.28 | $218.78 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $131.83 | Professional | None | $57.54 | $89.13 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $660.69 | Facility | None | $89.13 | $112.20 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $107.15 Typical High $186.21 | Professional | None | $60.26 | $107.15 | $186.21 |
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 $91.20 Median $218.78 Typical High $4,677.35 | Facility | None | $91.20 | $218.78 | $4,677.35 |
Moda Health Setting Professional Modifier None Typical Low $57.54 Median $109.65 Typical High $181.97 | Professional | None | $57.54 | $109.65 | $181.97 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $154.88 | Facility | None | $89.13 | $144.54 | $154.88 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $660.69 | Facility | None | $83.18 | $114.82 | $660.69 |
Providence Setting Professional Modifier None Typical Low $67.61 Median $109.65 Typical High $190.55 | Professional | None | $67.61 | $109.65 | $190.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $2,818.38 | Facility | None | $1,819.70 | $2,398.83 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $79.43 Median $134.90 Typical High $151.36 | Professional | None | $79.43 | $134.90 | $151.36 |
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 $64.57 Median $112.20 Typical High $194.98 | Professional | None | $64.57 | $112.20 | $194.98 |
12 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 $34.67 Typical High $53.70 | Professional | 52 · Reduced service | $28.84 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.80 Typical High $21.88 | Professional | 53 · Discontinued | $11.48 | $13.80 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $52.48 Typical High $81.28 | Professional | 54 · Surgery only | $42.66 | $52.48 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $10.47 Typical High $16.22 | Professional | 55 · Aftercare only | $8.51 | $10.47 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.92 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.75 | $6.92 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $33.88 Typical High $53.70 | Professional | 52 · Reduced service | $28.84 | $33.88 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.80 Typical High $21.88 | Professional | 53 · Discontinued | $11.48 | $13.80 | $21.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $51.29 Typical High $81.28 | Professional | 54 · Surgery only | $42.66 | $51.29 | $81.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $10.23 Typical High $16.22 | Professional | 55 · Aftercare only | $8.51 | $10.23 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.92 Typical High $10.96 | Professional | 56 · Pre-op care only | $5.75 | $6.92 | $10.96 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $26.92 Median $107.15 Typical High $331.13 | Professional | 59 · Distinct service | $26.92 | $107.15 | $331.13 |
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 3.5 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
$112
AK $204VA $58.88
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.