How much rates vary
Facilitymedian $5,248 · 10th to 90th $2,512 to $13,804Professionalmedian $832 · 10th to 90th $316 to $7,586
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 $426.58 Median $5,888.44 Typical High $8,709.64 | Facility | None | $426.58 | $5,888.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $2,454.71 Typical High $4,786.30 | Professional | None | $213.80 | $2,454.71 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $8,128.31 Typical High $10,964.78 | Facility | None | $1,000.00 | $8,128.31 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $2,511.89 Typical High $8,128.31 | Professional | None | $346.74 | $2,511.89 | $8,128.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $6,606.93 | Professional | None | $389.05 | $588.84 | $6,606.93 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $6,025.60 Typical High $8,709.64 | Facility | None | $489.78 | $6,025.60 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $218.78 Median $2,818.38 Typical High $5,128.61 | Professional | None | $218.78 | $2,818.38 | $5,128.61 |
Pacific Source Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $5,623.41 | Facility | None | $3,162.28 | $4,786.30 | $5,623.41 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $7,762.47 Typical High $10,964.78 | Facility | None | $602.56 | $7,762.47 | $10,964.78 |
Providence Setting Professional Modifier None Typical Low $275.42 Median $741.31 Typical High $8,128.31 | Professional | None | $275.42 | $741.31 | $8,128.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,135.61 Median $20,892.96 Typical High $23,442.29 | Facility | None | $15,135.61 | $20,892.96 | $23,442.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $831.76 Typical High $7,585.78 | Professional | None | $457.09 | $831.76 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $416.87 Median $2,630.27 Typical High $8,912.51 | Professional | None | $416.87 | $2,630.27 | $8,912.51 |
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 $173.78 Median $173.78 Typical High $2,398.83 | Professional | 52 · Reduced service | $173.78 | $173.78 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $954.99 | Professional | 53 · Discontinued | $69.18 | $69.18 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $3,548.13 | Professional | 54 · Surgery only | $257.04 | $257.04 | $3,548.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $724.44 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $478.63 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $478.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $2,398.83 | Professional | 52 · Reduced service | $173.78 | $173.78 | $2,398.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $954.99 | Professional | 53 · Discontinued | $69.18 | $69.18 | $954.99 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $3,548.13 | Professional | 54 · Surgery only | $257.04 | $257.04 | $3,548.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $724.44 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $724.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $478.63 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $478.63 |
Where Oregon sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 3rd of 51
$4,074
AK $5,248NE $468
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.