How much rates vary
Facilitymedian $282 · 10th to 90th $170 to $2,399Professionalmedian $219 · 10th to 90th $141 to $363
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 $102.33 Median $141.25 Typical High $204.17 | Professional | None | $102.33 | $141.25 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $194.98 Typical High $309.03 | Facility | None | $147.91 | $194.98 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $363.08 | Professional | None | $151.36 | $223.87 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $407.38 | Professional | None | $186.21 | $269.15 | $407.38 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $338.84 Typical High $7,943.28 | Facility | None | $204.17 | $338.84 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $338.84 | Professional | None | $128.82 | $204.17 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $309.03 | Facility | None | $173.78 | $275.42 | $309.03 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $338.84 | Facility | None | $141.25 | $199.53 | $338.84 |
Providence Setting Professional Modifier None Typical Low $109.65 Median $239.88 Typical High $389.05 | Professional | None | $109.65 | $239.88 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,819.70 | $2,454.71 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $316.23 | Professional | None | $204.17 | $295.12 | $316.23 |
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 $158.49 Median $234.42 Typical High $398.11 | Professional | None | $158.49 | $234.42 | $398.11 |
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 $70.79 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | 54 · Surgery only | $107.15 | $107.15 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $20.42 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $20.42 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $70.79 | $102.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $28.18 | $28.18 | $40.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | 54 · Surgery only | $107.15 | $107.15 | $151.36 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $30.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $20.42 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $20.42 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 9th of 51
$229
AK $437FL $123
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.