How much rates vary
Facilitymedian $141 · 10th to 90th $79 to $427Professionalmedian $126 · 10th to 90th $79 to $204
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 $5,128.61 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $114.82 | Professional | None | $70.79 | $93.33 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $75.86 Typical High $102.33 | Facility | None | $61.66 | $75.86 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $213.80 | Professional | None | $61.66 | $112.20 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $190.55 | Professional | None | $114.82 | $147.91 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $7,943.28 | Facility | None | $100.00 | $169.82 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $199.53 | Professional | None | $91.20 | $114.82 | $199.53 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $154.88 | Facility | None | $87.10 | $138.04 | $154.88 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $91.20 Typical High $199.53 | Facility | None | $63.10 | $91.20 | $199.53 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $199.53 | Professional | None | $79.43 | $128.82 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,202.26 | Facility | None | $812.83 | $1,023.29 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $173.78 | Professional | None | $123.03 | $147.91 | $173.78 |
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 $95.50 Median $131.83 Typical High $223.87 | Professional | None | $95.50 | $131.83 | $223.87 |
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 $44.67 Median $46.77 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $18.62 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $70.79 Typical High $87.10 | Professional | 54 · Surgery only | $67.61 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $14.13 Typical High $17.38 | Professional | 55 · Aftercare only | $13.49 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.33 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.91 | $9.33 | $11.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $46.77 | $57.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $18.62 | $22.91 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | 54 · Surgery only | $70.79 | $70.79 | $87.10 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $17.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $11.48 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,202.26 Median $1,548.82 Typical High $1,819.70 | Facility | 50 · Both sides | $1,202.26 | $1,548.82 | $1,819.70 |
Where Oregon sits
The same service costs 3.8 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· 8th of 51
$129
AK $257FL $67.61
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.