How much rates vary
Facilitymedian $17,378 · 10th to 90th $12,589 to $22,909Professionalmedian $12,589 · 10th to 90th $8,710 to $19,498
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 $10,471.29 Median $10,715.19 Typical High $10,715.19 | Professional | None | $10,471.29 | $10,715.19 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None | $9,120.11 | $9,120.11 | $9,120.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13,489.63 Median $39,810.72 Typical High $51,286.14 | Professional | None | $13,489.63 | $39,810.72 | $51,286.14 |
Moda Health Setting Facility Modifier None Typical Low $10,715.19 Median $13,182.57 Typical High $17,782.79 | Facility | None | $10,715.19 | $13,182.57 | $17,782.79 |
Moda Health Setting Professional Modifier None Typical Low $10,715.19 Median $16,218.10 Typical High $17,782.79 | Professional | None | $10,715.19 | $16,218.10 | $17,782.79 |
Pacific Source Setting Facility Modifier None Typical Low $15,848.93 Median $17,378.01 Typical High $21,379.62 | Facility | None | $15,848.93 | $17,378.01 | $21,379.62 |
Providence Setting Facility Modifier None Typical Low $10,715.19 Median $12,589.25 Typical High $17,782.79 | Facility | None | $10,715.19 | $12,589.25 | $17,782.79 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $9,120.11 Typical High $16,982.44 | Professional | None | $79.43 | $9,120.11 | $16,982.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,125.38 Median $27,542.29 Typical High $67,608.30 | Facility | None | $14,125.38 | $27,542.29 | $67,608.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $18,197.01 Median $19,498.45 Typical High $19,498.45 | Professional | None | $18,197.01 | $19,498.45 | $19,498.45 |
United Setting Facility Modifier None Typical Low $28,840.32 Median $28,840.32 Typical High $38,018.94 | Facility | None | $28,840.32 | $28,840.32 | $38,018.94 |
United Setting Professional Modifier None Typical Low $8,128.31 Median $8,709.64 Typical High $16,982.44 | Professional | None | $8,128.31 | $8,709.64 | $16,982.44 |
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 $5,248.07 Median $5,370.32 Typical High $5,370.32 | Professional | 52 · Reduced service | $5,248.07 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Professional | 53 · Discontinued | $2,089.30 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 55 · Aftercare only | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $1,047.13 | $1,071.52 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | 52 · Reduced service | $5,370.32 | $5,370.32 | $5,370.32 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 53 · Discontinued | $2,137.96 | $2,137.96 | $2,137.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 55 · Aftercare only | $1,584.89 | $1,584.89 | $1,584.89 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $1,071.52 | $1,071.52 | $1,071.52 |
Where Oregon sits
The same service costs 2.5 times more in Montana than in Florida. 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· 16th of 51
$14,454
MT $22,387FL $9,120
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.