How much rates vary
Facilitymedian $295 · 10th to 90th $178 to $2,042Professionalmedian $234 · 10th to 90th $151 to $380
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 $125.89 Median $154.88 Typical High $213.80 | Professional | None | $125.89 | $154.88 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $194.98 Typical High $309.03 | Facility | None | $144.54 | $194.98 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $380.19 | Professional | None | $162.18 | $234.42 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $426.58 | Professional | None | $199.53 | $281.84 | $426.58 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $7,943.28 | Facility | None | $213.80 | $354.81 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $371.54 | Professional | None | $151.36 | $213.80 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $288.40 Typical High $323.59 | Facility | None | $177.83 | $288.40 | $323.59 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $199.53 Typical High $354.81 | Facility | None | $144.54 | $199.53 | $354.81 |
Providence Setting Professional Modifier None Typical Low $117.49 Median $263.03 Typical High $407.38 | Professional | None | $117.49 | $263.03 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $2,818.38 | Facility | None | $1,819.70 | $2,398.83 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $331.13 | Professional | None | $223.87 | $309.03 | $331.13 |
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 $169.82 Median $251.19 Typical High $426.58 | Professional | None | $169.82 | $251.19 | $426.58 |
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 $75.86 Median $75.86 Typical High $107.15 | Professional | 52 · Reduced service | $75.86 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $42.66 | Professional | 53 · Discontinued | $30.20 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $158.49 | Professional | 54 · Surgery only | $114.82 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $31.62 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $21.38 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $21.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | 52 · Reduced service | $75.86 | $75.86 | $107.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $42.66 | Professional | 53 · Discontinued | $30.20 | $30.20 | $42.66 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $158.49 | Professional | 54 · Surgery only | $114.82 | $114.82 | $158.49 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $31.62 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $31.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $21.38 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $21.38 |
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
$251
AK $468FL $132
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.