How much rates vary
Facilitymedian $347 · 10th to 90th $214 to $646Professionalmedian $324 · 10th to 90th $170 to $479
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 $295.12 Median $5,011.87 Typical High $7,943.28 | Facility | None | $295.12 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $239.88 | Professional | None | $158.49 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $660.69 Typical High $1,047.13 | Facility | None | $446.68 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $489.78 | Professional | None | $186.21 | $288.40 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $389.05 | Professional | None | $275.42 | $323.59 | $389.05 |
Moda Health Setting Facility Modifier None Typical Low $295.12 Median $512.86 Typical High $7,943.28 | Facility | None | $295.12 | $512.86 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $190.55 Median $239.88 Typical High $407.38 | Professional | None | $190.55 | $239.88 | $407.38 |
Pacific Source Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $354.81 | Facility | None | $213.80 | $346.74 | $354.81 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $436.52 Typical High $1,047.13 | Facility | None | $213.80 | $436.52 | $1,047.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $338.84 Typical High $489.78 | Professional | None | $79.43 | $338.84 | $489.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $467.74 | Professional | None | $338.84 | $354.81 | $467.74 |
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 $223.87 Median $331.13 Typical High $537.03 | Professional | None | $223.87 | $331.13 | $537.03 |
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 $104.71 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $104.71 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $41.69 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | 54 · Surgery only | $158.49 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $31.62 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $20.89 | $23.99 | $23.99 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 54 · Surgery only | $177.83 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $35.48 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $23.99 |
Where Oregon sits
The same service costs 20.9 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 $7,181DE $344
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.