How much rates vary
Facilitymedian $331 · 10th to 90th $191 to $741Professionalmedian $347 · 10th to 90th $166 to $575
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 $309.03 Median $602.56 Typical High $6,606.93 | Facility | None | $309.03 | $602.56 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $380.19 | Professional | None | $147.91 | $257.04 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $269.15 Typical High $660.69 | Facility | None | $213.80 | $269.15 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $575.44 | Professional | None | $269.15 | $346.74 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $524.81 | Professional | None | $316.23 | $416.87 | $524.81 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $575.44 Typical High $7,943.28 | Facility | None | $316.23 | $575.44 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $302.00 Typical High $602.56 | Professional | None | $165.96 | $302.00 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $309.03 Typical High $426.58 | Facility | None | $177.83 | $309.03 | $426.58 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $707.95 | Facility | None | $218.78 | $331.13 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $354.81 Typical High $575.44 | Professional | None | $79.43 | $354.81 | $575.44 |
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 $354.81 Median $407.38 Typical High $524.81 | Professional | None | $354.81 | $407.38 | $524.81 |
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 $257.04 Median $363.08 Typical High $645.65 | Professional | None | $257.04 | $363.08 | $645.65 |
12 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 $79.43 Median $128.82 Typical High $151.36 | Professional | 52 · Reduced service | $79.43 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $31.62 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $190.55 Typical High $223.87 | Professional | 54 · Surgery only | $117.49 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $38.02 Typical High $44.67 | Professional | 55 · Aftercare only | $23.44 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $25.70 Typical High $30.20 | Professional | 56 · Pre-op care only | $15.85 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $177.83 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $109.65 | $177.83 | $208.93 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $128.82 Typical High $151.36 | Professional | 52 · Reduced service | $74.13 | $128.82 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $29.51 | $51.29 | $60.26 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $190.55 Typical High $223.87 | Professional | 54 · Surgery only | $112.20 | $190.55 | $223.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $38.02 Typical High $44.67 | Professional | 55 · Aftercare only | $22.39 | $38.02 | $44.67 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $25.70 Typical High $30.20 | Professional | 56 · Pre-op care only | $14.79 | $25.70 | $30.20 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $177.83 Typical High $208.93 | Professional | 78 · Unplanned return to OR | $104.71 | $177.83 | $208.93 |
Where Oregon sits
The same service costs 4.4 times more in Alaska 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· 8th of 51
$339
AK $759FL $174
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.