How much rates vary
Facilitymedian $219 · 10th to 90th $141 to $1,000Professionalmedian $170 · 10th to 90th $107 to $288
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 $87.10 Median $107.15 Typical High $162.18 | Professional | None | $87.10 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $2,511.89 | Facility | None | $660.69 | $1,000.00 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $288.40 | Professional | None | $114.82 | $177.83 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $323.59 | Professional | None | $134.90 | $199.53 | $323.59 |
Moda Health Setting Facility Modifier None Typical Low $154.88 Median $275.42 Typical High $7,943.28 | Facility | None | $154.88 | $275.42 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $257.04 | Professional | None | $104.71 | $162.18 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $245.47 | Facility | None | $138.04 | $218.78 | $245.47 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $1,023.29 | Facility | None | $102.33 | $257.04 | $1,023.29 |
Providence Setting Professional Modifier None Typical Low $81.28 Median $186.21 Typical High $302.00 | Professional | None | $81.28 | $186.21 | $302.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $245.47 | Professional | None | $154.88 | $223.87 | $245.47 |
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 $123.03 Median $186.21 Typical High $316.23 | Professional | None | $123.03 | $186.21 | $316.23 |
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 $53.70 Median $53.70 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $53.70 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $32.36 | Professional | 53 · Discontinued | $21.38 | $21.38 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $123.03 | Professional | 54 · Surgery only | $81.28 | $81.28 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $24.55 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $16.22 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $53.70 | $81.28 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $32.36 | Professional | 53 · Discontinued | $21.38 | $21.38 | $32.36 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $123.03 | Professional | 54 · Surgery only | $81.28 | $81.28 | $123.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $24.55 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $24.55 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $16.22 |
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· 8th of 51
$178
AK $331FL $93.33
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.