How much rates vary
Facilitymedian $537 · 10th to 90th $316 to $2,042Professionalmedian $417 · 10th to 90th $224 to $692
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $316.23 Typical High $426.58 | Professional | None | $186.21 | $316.23 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $660.69 | Facility | None | $269.15 | $338.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $407.38 Typical High $758.58 | Professional | None | $213.80 | $407.38 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $691.83 | Professional | None | $309.03 | $457.09 | $691.83 |
Moda Health Setting Facility Modifier None Typical Low $426.58 Median $616.60 Typical High $7,943.28 | Facility | None | $426.58 | $616.60 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $616.60 | Professional | None | $223.87 | $354.81 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $549.54 | Facility | None | $323.59 | $524.81 | $549.54 |
Providence Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $758.58 | Facility | None | $275.42 | $398.11 | $758.58 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $416.87 Typical High $691.83 | Professional | None | $79.43 | $416.87 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $2,290.87 | Facility | None | $1,513.56 | $2,041.74 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $575.44 | Professional | None | $389.05 | $501.19 | $575.44 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $794.33 | Professional | None | $331.13 | $478.63 | $794.33 |
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 $154.88 Median $158.49 Typical High $213.80 | Professional | 52 · Reduced service | $154.88 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $87.10 | Professional | 53 · Discontinued | $61.66 | $63.10 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $239.88 Typical High $323.59 | Professional | 54 · Surgery only | $229.09 | $239.88 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $47.86 Typical High $64.57 | Professional | 55 · Aftercare only | $46.77 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $31.62 Typical High $42.66 | Professional | 56 · Pre-op care only | $30.90 | $31.62 | $42.66 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | 52 · Reduced service | $158.49 | $158.49 | $213.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $87.10 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | 54 · Surgery only | $239.88 | $239.88 | $323.59 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $64.57 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $64.57 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $42.66 |
Where Oregon sits
The same service costs 3.5 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· 7th of 51
$447
AK $832FL $234
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.