How much rates vary
Facilitymedian $251 · 10th to 90th $151 to $468Professionalmedian $229 · 10th to 90th $129 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 $141.25 Median $194.98 Typical High $251.19 | Professional | None | $141.25 | $194.98 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $398.11 | Professional | None | $194.98 | $234.42 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $331.13 | Professional | None | $223.87 | $281.84 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $194.98 Median $331.13 Typical High $7,943.28 | Facility | None | $194.98 | $331.13 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $380.19 | Professional | None | $141.25 | $199.53 | $380.19 |
Pacific Source Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $275.42 | Facility | None | $151.36 | $245.47 | $275.42 |
Providence Setting Facility Modifier None Typical Low $158.49 Median $288.40 Typical High $363.08 | Facility | None | $158.49 | $288.40 | $363.08 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $234.42 Typical High $389.05 | Professional | None | $79.43 | $234.42 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $794.33 | Facility | None | $524.81 | $691.83 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $346.74 | Professional | None | $251.19 | $275.42 | $346.74 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $446.68 | Professional | None | $181.97 | $239.88 | $446.68 |
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 $69.18 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $69.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $104.71 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $20.89 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $13.80 | $19.50 | $19.50 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $64.57 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $25.70 | $38.90 | $38.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $97.72 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $19.50 | $28.84 | $28.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $12.88 | $19.50 | $19.50 |
Where Oregon sits
The same service costs 3.2 times more in Alaska 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· 8th of 51
$240
AK $347KY $107
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.