How much rates vary
Facilitymedian $380 · 10th to 90th $224 to $4,074Professionalmedian $372 · 10th to 90th $257 to $550
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 $199.53 Median $281.84 Typical High $281.84 | Professional | None | $199.53 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $2,137.96 | Facility | None | $660.69 | $870.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $316.23 Typical High $524.81 | Professional | None | $199.53 | $316.23 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $446.68 | Professional | None | $316.23 | $371.54 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $309.03 Median $5,011.87 Typical High $7,943.28 | Facility | None | $309.03 | $5,011.87 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $457.09 | Professional | None | $275.42 | $281.84 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $229.09 Median $363.08 Typical High $389.05 | Facility | None | $229.09 | $363.08 | $389.05 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $537.03 Typical High $1,071.52 | Facility | None | $223.87 | $537.03 | $1,071.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $407.38 Typical High $575.44 | Professional | None | $79.43 | $407.38 | $575.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $524.81 | Professional | None | $371.54 | $389.05 | $524.81 |
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 $281.84 Median $398.11 Typical High $630.96 | Professional | None | $281.84 | $398.11 | $630.96 |
10 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 $123.03 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $186.21 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $37.15 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $24.55 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $208.93 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $41.69 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Where Oregon sits
The same service costs 38.4 times more in Alabama than in Delaware. 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.
Physician feeFacility fee
AL $15,100DE $394
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.