How much rates vary
Facilitymedian $1,175 · 10th to 90th $550 to $17,378Professionalmedian $8,913 · 10th to 90th $871 to $10,471
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 Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $17,378.01 Typical High $17,378.01 | Facility | None | $8,709.64 | $17,378.01 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $851.14 | Professional | None | $549.54 | $660.69 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $11,481.54 Typical High $12,589.25 | Facility | None | $354.81 | $11,481.54 | $12,589.25 |
Moda Health Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
Providence Setting Facility Modifier None Typical Low $8,709.64 Median $11,481.54 Typical High $17,378.01 | Facility | None | $8,709.64 | $11,481.54 | $17,378.01 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $8,912.51 Typical High $10,471.29 | Professional | None | $79.43 | $8,912.51 | $10,471.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $812.83 Typical High $1,230.27 | Facility | None | $549.54 | $812.83 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $8,511.38 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,511.38 | $8,912.51 | $8,912.51 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $10,000.00 | Professional | None | $8,709.64 | $8,709.64 | $10,000.00 |
8 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 $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | 52 · Reduced service | $4,365.16 | $4,365.16 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 55 · Aftercare only | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 56 · Pre-op care only | $870.96 | $870.96 | $870.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | 52 · Reduced service | $4,365.16 | $4,365.16 | $4,365.16 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,737.80 | $1,737.80 | $1,737.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 55 · Aftercare only | $1,318.26 | $1,318.26 | $1,318.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 56 · Pre-op care only | $870.96 | $870.96 | $870.96 |
Where Oregon sits
The same service costs 26.3 times more in Alaska than in Montana. 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· 5th of 51
$8,913
AK $12,303MT $468
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.