How much rates vary
Facilitymedian $162 · 10th to 90th $100 to $219Professionalmedian $135 · 10th to 90th $68 to $214
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 $74.13 Median $109.65 Typical High $109.65 | Professional | None | $74.13 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,047.13 Typical High $2,511.89 | Facility | None | $660.69 | $1,047.13 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $190.55 | Professional | None | $134.90 | $158.49 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $7,943.28 | Facility | None | $120.23 | $208.93 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $190.55 | Professional | None | $83.18 | $114.82 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $169.82 | Facility | None | $100.00 | $162.18 | $169.82 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $186.21 Typical High $660.69 | Facility | None | $67.61 | $186.21 | $660.69 |
Providence Setting Professional Modifier None Typical Low $67.61 Median $154.88 Typical High $229.09 | Professional | None | $67.61 | $154.88 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $218.78 | Professional | None | $138.04 | $144.54 | $218.78 |
United Setting Facility Modifier None Typical Low $151.36 Median $275.42 Typical High $4,897.79 | Facility | None | $151.36 | $275.42 | $4,897.79 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $257.04 | Professional | None | $109.65 | $158.49 | $257.04 |
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 $45.71 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $45.71 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $18.20 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | 54 · Surgery only | $69.18 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $13.80 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.12 | $10.96 | $10.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $21.88 | $21.88 | $21.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 54 · Surgery only | $81.28 | $81.28 | $81.28 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $16.22 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
Where Oregon sits
The same service costs 16.6 times more in Alabama than in Delaware. 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.
Physician feeFacility fee
AL $3,321DE $200
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.