How much rates vary
Facilitymedian $269 · 10th to 90th $151 to $1,230Professionalmedian $178 · 10th to 90th $87 to $389
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 $66.07 Median $125.89 Typical High $223.87 | Professional | None | $66.07 | $125.89 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $229.09 Typical High $870.96 | Facility | None | $186.21 | $229.09 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $181.97 Typical High $407.38 | Professional | None | $95.50 | $181.97 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $354.81 | Professional | None | $112.20 | $165.96 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $7,943.28 | Facility | None | $128.82 | $245.47 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $269.15 | Professional | None | $85.11 | $165.96 | $269.15 |
Pacific Source Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $288.40 | Facility | None | $141.25 | $263.03 | $288.40 |
Providence Setting Facility Modifier None Typical Low $125.89 Median $229.09 Typical High $707.95 | Facility | None | $125.89 | $229.09 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $398.11 | Professional | None | $79.43 | $177.83 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,801.89 Median $5,248.07 Typical High $6,025.60 | Facility | None | $3,801.89 | $5,248.07 | $6,025.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $123.03 Median $213.80 Typical High $389.05 | Professional | None | $123.03 | $213.80 | $389.05 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $6,918.31 | Facility | None | $602.56 | $1,000.00 | $6,918.31 |
United Setting Professional Modifier None Typical Low $102.33 Median $208.93 Typical High $407.38 | Professional | None | $102.33 | $208.93 | $407.38 |
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 $44.67 Typical High $112.20 | Professional | 52 · Reduced service | $44.67 | $44.67 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $44.67 | Professional | 53 · Discontinued | $18.20 | $18.20 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $165.96 | Professional | 54 · Surgery only | $67.61 | $67.61 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $33.11 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $22.39 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $22.39 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $112.20 | Professional | 52 · Reduced service | $44.67 | $44.67 | $112.20 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $44.67 | Professional | 53 · Discontinued | $18.20 | $18.20 | $44.67 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $165.96 | Professional | 54 · Surgery only | $67.61 | $67.61 | $165.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $33.11 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $33.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $22.39 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $22.39 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $7,943.28 Typical High $9,120.11 | Facility | 50 · Both sides | $5,754.40 | $7,943.28 | $9,120.11 |
Where Oregon sits
The same service costs 5.9 times more in Oklahoma than in Kentucky. 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· 6th of 51
$224
OK $468KY $79.43
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.