How much rates vary
Facilitymedian $1,072 · 10th to 90th $575 to $1,318Professionalmedian $1,096 · 10th to 90th $575 to $1,585
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $794.33 Typical High $794.33 | Professional | None | $724.44 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $891.25 Typical High $1,047.13 | Facility | None | $602.56 | $891.25 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,584.89 | Professional | None | $602.56 | $933.25 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,348.96 | Professional | None | $933.25 | $1,122.02 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,778.28 Typical High $8,709.64 | Facility | None | $977.24 | $1,778.28 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,412.54 | Professional | None | $794.33 | $912.01 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,174.90 | Facility | None | $691.83 | $1,096.48 | $1,174.90 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,778.28 | Facility | None | $676.08 | $1,023.29 | $1,778.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,096.48 Typical High $1,584.89 | Professional | None | $79.43 | $1,096.48 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,174.90 | $1,548.82 |
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 $724.44 Median $1,071.52 Typical High $1,778.28 | Professional | None | $724.44 | $1,071.52 | $1,778.28 |
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 $346.74 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $346.74 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $512.86 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $102.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $69.18 | $79.43 | $79.43 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $389.05 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
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· 8th of 51
$1,096
AK $2,399UT $490
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.