How much rates vary
Facilitymedian $200 · 10th to 90th $120 to $1,000Professionalmedian $178 · 10th to 90th $91 to $309
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 $173.78 Median $4,786.30 Typical High $7,943.28 | Facility | None | $173.78 | $4,786.30 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $218.78 | Professional | None | $95.50 | $141.25 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $131.83 Typical High $660.69 | Facility | None | $104.71 | $131.83 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $309.03 | Professional | None | $79.43 | $169.82 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $204.17 Typical High $275.42 | Professional | None | $154.88 | $204.17 | $275.42 |
Moda Health Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $6,606.93 | Facility | None | $177.83 | $275.42 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $169.82 Typical High $331.13 | Professional | None | $95.50 | $169.82 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $229.09 | Facility | None | $120.23 | $194.98 | $229.09 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $660.69 | Facility | None | $107.15 | $173.78 | $660.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $186.21 Typical High $316.23 | Professional | None | $79.43 | $186.21 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,445.44 | Facility | None | $912.01 | $1,174.90 | $1,445.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $275.42 | Professional | None | $173.78 | $213.80 | $275.42 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $323.59 | Professional | None | $151.36 | $190.55 | $323.59 |
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 $67.61 Median $70.79 Typical High $89.13 | Professional | 52 · Reduced service | $67.61 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $35.48 | Professional | 53 · Discontinued | $27.54 | $28.18 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $104.71 Typical High $131.83 | Professional | 54 · Surgery only | $102.33 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.38 Typical High $26.30 | Professional | 55 · Aftercare only | $20.42 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.13 Typical High $17.78 | Professional | 56 · Pre-op care only | $13.80 | $14.13 | $17.78 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $338.84 Typical High $537.03 | Professional | 50 · Both sides | $158.49 | $338.84 | $537.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | 52 · Reduced service | $70.79 | $70.79 | $89.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | 53 · Discontinued | $28.18 | $28.18 | $35.48 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $104.71 Typical High $131.83 | Professional | 54 · Surgery only | $104.71 | $104.71 | $131.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $26.30 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $17.78 |
Where Oregon sits
The same service costs 3.7 times more in Alaska 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· 10th of 51
$186
AK $363FL $97.72
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.