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 $29.51 Median $104.71 Typical High $177.83 | Professional | None | $29.51 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $660.69 | Facility | None | $154.88 | $194.98 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $117.49 Typical High $295.12 | Professional | None | $42.66 | $117.49 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $302.00 | Professional | None | $52.48 | $75.86 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $281.84 Typical High $7,943.28 | Facility | None | $58.88 | $281.84 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $39.81 Median $125.89 Typical High $251.19 | Professional | None | $39.81 | $125.89 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $245.47 | Facility | None | $144.54 | $223.87 | $245.47 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $194.98 Typical High $676.08 | Facility | None | $72.44 | $194.98 | $676.08 |
Providence Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $295.12 | Professional | None | $47.86 | $87.10 | $295.12 |
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 $57.54 Median $102.33 Typical High $234.42 | Professional | None | $57.54 | $102.33 | $234.42 |
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 $46.77 Median $134.90 Typical High $309.03 | Professional | None | $46.77 | $134.90 | $309.03 |
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 $30.90 Median $32.36 Typical High $134.90 | Professional | 54 · Surgery only | $30.90 | $32.36 | $134.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $30.90 Typical High $134.90 | Professional | 54 · Surgery only | $30.90 | $30.90 | $134.90 |
Where Oregon sits
The same service costs 5.1 times more in Iowa 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· 2nd of 51
$174
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.