How much rates vary
Facilitymedian $117 · 10th to 90th $79 to $5,012Professionalmedian $107 · 10th to 90th $74 to $162
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 $57.54 Median $83.18 Typical High $95.50 | Professional | None | $57.54 | $83.18 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $162.18 | Professional | None | $72.44 | $97.72 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $144.54 | Professional | None | $91.20 | $114.82 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $7,943.28 | Facility | None | $112.20 | $144.54 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $151.36 | Professional | None | $79.43 | $95.50 | $151.36 |
Pacific Source Setting Facility Modifier None Typical Low $72.44 Median $114.82 Typical High $128.82 | Facility | None | $72.44 | $114.82 | $128.82 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $134.90 Typical High $147.91 | Facility | None | $100.00 | $134.90 | $147.91 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $162.18 | Professional | None | $75.86 | $109.65 | $162.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $154.88 | Professional | None | $97.72 | $109.65 | $154.88 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $4,897.79 Typical High $6,165.95 | Facility | None | $1,122.02 | $4,897.79 | $6,165.95 |
United Setting Professional Modifier None Typical Low $57.54 Median $114.82 Typical High $177.83 | Professional | None | $57.54 | $114.82 | $177.83 |
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 $28.84 Median $40.74 Typical High $47.86 | Professional | 52 · Reduced service | $28.84 | $40.74 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $11.48 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $61.66 Typical High $70.79 | Professional | 54 · Surgery only | $43.65 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.30 Typical High $14.13 | Professional | 55 · Aftercare only | $8.71 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.32 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.75 | $8.32 | $9.55 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $40.74 Typical High $47.86 | Professional | 52 · Reduced service | $28.84 | $40.74 | $47.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $11.48 | $16.60 | $19.05 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $61.66 Typical High $70.79 | Professional | 54 · Surgery only | $43.65 | $61.66 | $70.79 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.30 Typical High $14.13 | Professional | 55 · Aftercare only | $8.71 | $12.30 | $14.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $8.32 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.75 | $8.32 | $9.55 |
Where Oregon sits
The same service costs 3.4 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
$110
AK $182FL $53.70
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.