How much rates vary
Facilitymedian $1,259 · 10th to 90th $759 to $25,119Professionalmedian $1,230 · 10th to 90th $759 to $1,905
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 $10,232.93 Typical High $15,848.93 | Facility | None | $5,128.61 | $10,232.93 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $891.25 | Professional | None | $630.96 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $19,498.45 Typical High $26,302.68 | Facility | None | $1,000.00 | $19,498.45 | $26,302.68 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,778.28 | Professional | None | $812.83 | $1,148.15 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,202.26 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $7,943.28 Typical High $15,848.93 | Facility | None | $977.24 | $7,943.28 | $15,848.93 |
Moda Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,905.46 | Professional | None | $891.25 | $891.25 | $1,905.46 |
Pacific Source Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,288.25 | Facility | None | $758.58 | $1,202.26 | $1,288.25 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $18,620.87 Typical High $25,703.96 | Facility | None | $851.14 | $18,620.87 | $25,703.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,258.93 Typical High $1,905.46 | Professional | None | $79.43 | $1,258.93 | $1,905.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $37,153.52 Median $45,708.82 Typical High $56,234.13 | Facility | None | $37,153.52 | $45,708.82 | $56,234.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,288.25 | $1,949.84 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,238.72 | Professional | None | $912.01 | $1,318.26 | $2,238.72 |
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 $346.74 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $524.81 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $104.71 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $446.68 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $89.13 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $56,234.13 Median $69,183.10 Typical High $85,113.80 | Facility | 50 · Both sides | $56,234.13 | $69,183.10 | $85,113.80 |
Where Oregon sits
The same service costs 11.7 times more in Oklahoma than in Utah. 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· 12th of 51
$1,259
OK $4,786UT $407
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.