How much rates vary
Facilitymedian $417 · 10th to 90th $257 to $4,365Professionalmedian $331 · 10th to 90th $178 to $631
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 $11,748.98 Typical High $24,547.09 | Facility | None | $5,128.61 | $11,748.98 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $354.81 | Professional | None | $169.82 | $251.19 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $1,412.54 | Facility | None | $239.88 | $302.00 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $338.84 Typical High $645.65 | Professional | None | $181.97 | $338.84 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $537.03 | Professional | None | $204.17 | $309.03 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $478.63 Typical High $19,952.62 | Facility | None | $251.19 | $478.63 | $19,952.62 |
Moda Health Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $724.44 | Professional | None | $177.83 | $316.23 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $263.03 Median $407.38 Typical High $588.84 | Facility | None | $263.03 | $407.38 | $588.84 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $338.84 Typical High $1,412.54 | Facility | None | $229.09 | $338.84 | $1,412.54 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $338.84 Typical High $645.65 | Professional | None | $79.43 | $338.84 | $645.65 |
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 $239.88 Median $407.38 Typical High $616.60 | Professional | None | $239.88 | $407.38 | $616.60 |
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 $213.80 Median $363.08 Typical High $741.31 | Professional | None | $213.80 | $363.08 | $741.31 |
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 $89.13 Median $104.71 Typical High $165.96 | Professional | 52 · Reduced service | $89.13 | $104.71 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $41.69 Typical High $66.07 | Professional | 53 · Discontinued | $35.48 | $41.69 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $154.88 Typical High $251.19 | Professional | 54 · Surgery only | $131.83 | $154.88 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $30.90 Typical High $50.12 | Professional | 55 · Aftercare only | $26.30 | $30.90 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $20.89 Typical High $33.11 | Professional | 56 · Pre-op care only | $17.78 | $20.89 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $95.50 Typical High $165.96 | Professional | 52 · Reduced service | $89.13 | $95.50 | $165.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $66.07 | Professional | 53 · Discontinued | $35.48 | $38.90 | $66.07 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $144.54 Typical High $251.19 | Professional | 54 · Surgery only | $131.83 | $144.54 | $251.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $28.84 Typical High $50.12 | Professional | 55 · Aftercare only | $26.30 | $28.84 | $50.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $19.05 Typical High $33.11 | Professional | 56 · Pre-op care only | $17.78 | $19.05 | $33.11 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $7,762.47 Typical High $9,120.11 | Facility | 50 · Both sides | $5,754.40 | $7,762.47 | $9,120.11 |
Where Oregon sits
The same service costs 3.2 times more in Oklahoma than in Texas. 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
$372
OK $692TX $214
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.