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 $58.88 Median $89.13 Typical High $138.04 | Professional | None | $58.88 | $89.13 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $1,047.13 | Facility | None | $446.68 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $144.54 Typical High $239.88 | Professional | None | $85.11 | $144.54 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $257.04 | Professional | None | $100.00 | $147.91 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $117.49 Median $208.93 Typical High $7,943.28 | Facility | None | $117.49 | $208.93 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $204.17 | Professional | None | $79.43 | $123.03 | $204.17 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $194.98 | Facility | None | $109.65 | $181.97 | $194.98 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $707.95 | Facility | None | $97.72 | $204.17 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $239.88 | Professional | None | $79.43 | $141.25 | $239.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $194.98 | Professional | None | $114.82 | $181.97 | $194.98 |
United Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $4,897.79 | Facility | None | $151.36 | $275.42 | $4,897.79 |
United Setting Professional Modifier None Typical Low $91.20 Median $147.91 Typical High $257.04 | Professional | None | $91.20 | $147.91 | $257.04 |
2 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 $61.66 Median $66.07 Typical High $102.33 | Professional | 54 · Surgery only | $61.66 | $66.07 | $102.33 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $61.66 Typical High $102.33 | Professional | 54 · Surgery only | $61.66 | $61.66 | $102.33 |
Where Oregon sits
The same service costs 3.6 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· 8th of 51
$145
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.