How much rates vary
Facilitymedian $407 · 10th to 90th $269 to $1,122Professionalmedian $282 · 10th to 90th $129 to $513
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $323.59 | Professional | None | $128.82 | $204.17 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $588.84 | Professional | None | $138.04 | $288.40 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $190.55 Typical High $436.52 | Professional | None | $144.54 | $190.55 | $436.52 |
Moda Health Setting Facility Modifier None Typical Low $213.80 Median $537.03 Typical High $7,943.28 | Facility | None | $213.80 | $537.03 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $123.03 Median $251.19 Typical High $436.52 | Professional | None | $123.03 | $251.19 | $436.52 |
Pacific Source Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $467.74 | Facility | None | $275.42 | $371.54 | $467.74 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $302.00 Typical High $660.69 | Facility | None | $97.72 | $302.00 | $660.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $275.42 Typical High $549.54 | Professional | None | $79.43 | $275.42 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,621.81 | Facility | None | $954.99 | $1,348.96 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $218.78 Median $338.84 Typical High $467.74 | Professional | None | $218.78 | $338.84 | $467.74 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,995.26 | Facility | None | $1,288.25 | $1,621.81 | $1,995.26 |
United Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $602.56 | Professional | None | $186.21 | $323.59 | $602.56 |
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 $74.13 Median $74.13 Typical High $158.49 | Professional | 52 · Reduced service | $74.13 | $74.13 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $44.67 Typical High $63.10 | Professional | 53 · Discontinued | $29.51 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $234.42 | Professional | 54 · Surgery only | $112.20 | $112.20 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $33.11 Typical High $47.86 | Professional | 55 · Aftercare only | $22.39 | $33.11 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.39 Typical High $31.62 | Professional | 56 · Pre-op care only | $14.79 | $22.39 | $31.62 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $158.49 | Professional | 52 · Reduced service | $74.13 | $74.13 | $158.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $44.67 Typical High $63.10 | Professional | 53 · Discontinued | $29.51 | $44.67 | $63.10 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $234.42 | Professional | 54 · Surgery only | $112.20 | $112.20 | $234.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $33.11 Typical High $47.86 | Professional | 55 · Aftercare only | $22.39 | $33.11 | $47.86 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $22.39 Typical High $31.62 | Professional | 56 · Pre-op care only | $14.79 | $22.39 | $31.62 |
Where Oregon sits
The same service costs 3.4 times more in Alaska than in Maryland. 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
$316
AK $468MD $138
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.