How much rates vary
Facilitymedian $282 · 10th to 90th $170 to $3,631Professionalmedian $219 · 10th to 90th $112 to $347
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 $151.36 Median $158.49 Typical High $223.87 | Professional | None | $151.36 | $158.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,089.30 Typical High $2,754.23 | Facility | None | $891.25 | $2,089.30 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $208.93 Typical High $389.05 | Professional | None | $107.15 | $208.93 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $346.74 | Professional | None | $173.78 | $239.88 | $346.74 |
Moda Health Setting Facility Modifier None Typical Low $218.78 Median $323.59 Typical High $7,943.28 | Facility | None | $218.78 | $323.59 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $323.59 | Professional | None | $154.88 | $223.87 | $323.59 |
Pacific Source Setting Facility Modifier None Typical Low $162.18 Median $269.15 Typical High $288.40 | Facility | None | $162.18 | $269.15 | $288.40 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $1,659.59 Typical High $2,754.23 | Facility | None | $234.42 | $1,659.59 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $208.93 Typical High $346.74 | Professional | None | $79.43 | $208.93 | $346.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $8,128.31 Typical High $9,332.54 | Facility | None | $5,754.40 | $8,128.31 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $288.40 | Professional | None | $194.98 | $263.03 | $288.40 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $407.38 | Professional | None | $158.49 | $245.47 | $407.38 |
11 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 $77.62 Typical High $112.20 | Professional | 52 · Reduced service | $75.86 | $77.62 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $45.71 | Professional | 53 · Discontinued | $30.90 | $31.62 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $117.49 Typical High $169.82 | Professional | 54 · Surgery only | $114.82 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $23.44 Typical High $33.88 | Professional | 55 · Aftercare only | $22.91 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.85 Typical High $22.39 | Professional | 56 · Pre-op care only | $15.14 | $15.85 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $112.20 | Professional | 52 · Reduced service | $77.62 | $77.62 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $45.71 | Professional | 53 · Discontinued | $31.62 | $31.62 | $45.71 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $169.82 | Professional | 54 · Surgery only | $117.49 | $117.49 | $169.82 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $33.88 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $33.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $22.39 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $22.39 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,709.64 Median $12,302.69 Typical High $13,803.84 | Facility | 50 · Both sides | $8,709.64 | $12,302.69 | $13,803.84 |
Where Oregon sits
The same service costs 10.9 times more in Colorado than in Montana. 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
CO $3,950MT $363
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.