How much rates vary
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 $239.88 Median $5,128.61 Typical High $7,943.28 | Facility | None | $239.88 | $5,128.61 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $251.19 | Professional | None | $194.98 | $194.98 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $2,511.89 | Facility | None | $660.69 | $758.58 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $389.05 | Professional | None | $177.83 | $223.87 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $275.42 | Professional | None | $186.21 | $218.78 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $275.42 Typical High $7,943.28 | Facility | None | $194.98 | $275.42 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | None | $173.78 | $194.98 | $194.98 |
Pacific Source Setting Facility Modifier None Typical Low $61.66 Median $104.71 Typical High $109.65 | Facility | None | $61.66 | $104.71 | $109.65 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $1,047.13 | Facility | None | $177.83 | $251.19 | $1,047.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $181.97 Typical High $371.54 | Professional | None | $79.43 | $181.97 | $371.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $309.03 | Professional | None | $239.88 | $257.04 | $309.03 |
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 $158.49 Median $218.78 Typical High $371.54 | Professional | None | $158.49 | $218.78 | $371.54 |
2 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 54 · Surgery only Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | 54 · Surgery only | $144.54 | $144.54 | $151.36 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $144.54 | $144.54 | $144.54 |
Where Oregon sits
The same service costs 4.8 times more in Indiana than in Florida. 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· 21st of 51
$195
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.