How much rates vary
Facilitymedian $692 · 10th to 90th $407 to $912Professionalmedian $661 · 10th to 90th $355 to $977
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 $446.68 Median $478.63 Typical High $478.63 | Professional | None | $446.68 | $478.63 | $478.63 |
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 $380.19 Median $575.44 Typical High $954.99 | Professional | None | $380.19 | $575.44 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $812.83 | Professional | None | $575.44 | $676.08 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $977.24 Typical High $7,943.28 | Facility | None | $602.56 | $977.24 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $831.76 | Professional | None | $478.63 | $562.34 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $741.31 | Facility | None | $426.58 | $691.83 | $741.31 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,047.13 | Facility | None | $436.52 | $707.95 | $1,047.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $676.08 Typical High $1,000.00 | Professional | None | $79.43 | $676.08 | $1,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $954.99 | Professional | None | $691.83 | $724.44 | $954.99 |
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 $457.09 Median $676.08 Typical High $1,096.48 | Professional | None | $457.09 | $676.08 | $1,096.48 |
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 $213.80 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $85.11 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $316.23 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $63.10 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $42.66 | $47.86 | $47.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $363.08 | $363.08 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Where Oregon sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$676
AK $1,445UT $295
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.