How much rates vary
Facilitymedian $355 · 10th to 90th $219 to $832Professionalmedian $355 · 10th to 90th $191 to $525
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 $5,128.61 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $263.03 | Professional | None | $239.88 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,148.15 | Facility | None | $691.83 | $1,000.00 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $524.81 | Professional | None | $194.98 | $309.03 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | None | $309.03 | $363.08 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $295.12 Median $501.19 Typical High $17,378.01 | Facility | None | $295.12 | $501.19 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $446.68 | Professional | None | $263.03 | $295.12 | $446.68 |
Pacific Source Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $389.05 | Facility | None | $229.09 | $346.74 | $389.05 |
Providence Setting Facility Modifier None Typical Low $245.47 Median $501.19 Typical High $1,148.15 | Facility | None | $245.47 | $501.19 | $1,148.15 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $346.74 Typical High $524.81 | Professional | None | $79.43 | $346.74 | $524.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $512.86 | Professional | None | $371.54 | $389.05 | $512.86 |
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 $245.47 Median $354.81 Typical High $588.84 | Professional | None | $245.47 | $354.81 | $588.84 |
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 $114.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $194.98 Typical High $194.98 | Professional | 54 · Surgery only | $169.82 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $33.88 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.91 | $26.30 | $26.30 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $128.82 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 54 · Surgery only | $194.98 | $194.98 | $194.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Where Oregon sits
The same service costs 4.8 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· 8th of 51
$355
AK $776UT $162
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.