How much rates vary
Facilitymedian $1,349 · 10th to 90th $832 to $16,982Professionalmedian $1,175 · 10th to 90th $589 to $1,905
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 $1,288.25 Median $15,488.17 Typical High $33,884.42 | Facility | None | $1,288.25 | $15,488.17 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $1,023.29 Typical High $1,047.13 | Professional | None | $602.56 | $1,023.29 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $7,585.78 Typical High $10,232.93 | Facility | None | $1,000.00 | $7,585.78 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,122.02 Typical High $1,905.46 | Professional | None | $549.54 | $1,122.02 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $1,258.93 Typical High $1,479.11 | Professional | None | $575.44 | $1,258.93 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $1,288.25 Median $7,943.28 Typical High $33,884.42 | Facility | None | $1,288.25 | $7,943.28 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $602.56 Median $1,047.13 Typical High $1,778.28 | Professional | None | $602.56 | $1,047.13 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $1,258.93 Typical High $1,348.96 | Facility | None | $794.33 | $1,258.93 | $1,348.96 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $7,244.36 Typical High $10,232.93 | Facility | None | $1,023.29 | $7,244.36 | $10,232.93 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,288.25 Typical High $1,995.26 | Professional | None | $79.43 | $1,288.25 | $1,995.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,589.25 Median $16,982.44 Typical High $20,892.96 | Facility | None | $12,589.25 | $16,982.44 | $20,892.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,288.25 | $1,348.96 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,630.78 | $22,908.68 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,187.76 | Professional | None | $977.24 | $1,288.25 | $2,187.76 |
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 $426.58 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $426.58 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $173.78 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $758.58 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $128.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $87.10 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $512.86 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $204.17 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $758.58 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $151.36 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $102.33 | $104.71 | $104.71 |
Where Oregon sits
The same service costs 5.9 times more in Alaska 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
AK $12,304MT $2,095
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.