How much rates vary
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 $36.31 Median $50.12 Typical High $77.62 | Professional | None | $36.31 | $50.12 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $47.86 Typical High $64.57 | Facility | None | $38.02 | $47.86 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $120.23 | Professional | None | $46.77 | $72.44 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $125.89 | Professional | None | $58.88 | $83.18 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $64.57 Median $104.71 Typical High $7,943.28 | Facility | None | $64.57 | $104.71 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $112.20 | Professional | None | $44.67 | $67.61 | $112.20 |
Pacific Source Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $100.00 | Facility | None | $57.54 | $91.20 | $100.00 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $114.82 | Facility | None | $39.81 | $53.70 | $114.82 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $120.23 | Professional | None | $52.48 | $79.43 | $120.23 |
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 $63.10 Median $93.33 Typical High $100.00 | Professional | None | $63.10 | $93.33 | $100.00 |
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 $52.48 Median $77.62 Typical High $128.82 | Professional | None | $52.48 | $77.62 | $128.82 |
3 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 54 · Surgery only Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | 54 · Surgery only | $33.88 | $33.88 | $50.12 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | 54 · Surgery only | $33.88 | $33.88 | $50.12 |
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 3.3 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· 6th of 51
$77.62
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.