How much rates vary
Facilitymedian $355 · 10th to 90th $219 to $1,950Professionalmedian $282 · 10th to 90th $145 to $479
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 $251.19 Median $4,677.35 Typical High $7,943.28 | Facility | None | $251.19 | $4,677.35 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $338.84 | Professional | None | $131.83 | $204.17 | $338.84 |
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 $213.80 Median $288.40 Typical High $524.81 | Professional | None | $213.80 | $288.40 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $467.74 | Professional | None | $245.47 | $316.23 | $467.74 |
Moda Health Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $6,606.93 | Facility | None | $251.19 | $398.11 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $131.83 Median $234.42 Typical High $363.08 | Professional | None | $131.83 | $234.42 | $363.08 |
Pacific Source Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $380.19 | Facility | None | $213.80 | $346.74 | $380.19 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $707.95 | Facility | None | $213.80 | $295.12 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $295.12 Typical High $489.78 | Professional | None | $79.43 | $295.12 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,819.70 | $2,454.71 | $2,818.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $446.68 | Professional | None | $281.84 | $371.54 | $446.68 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $524.81 | Professional | None | $208.93 | $323.59 | $524.81 |
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 $75.86 Median $102.33 Typical High $138.04 | Professional | 52 · Reduced service | $75.86 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $40.74 Typical High $56.23 | Professional | 53 · Discontinued | $30.20 | $40.74 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $151.36 Typical High $208.93 | Professional | 54 · Surgery only | $112.20 | $151.36 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.90 Typical High $41.69 | Professional | 55 · Aftercare only | $22.39 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $20.42 Typical High $27.54 | Professional | 56 · Pre-op care only | $15.14 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $141.25 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $104.71 | $141.25 | $194.98 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $102.33 Typical High $138.04 | Professional | 52 · Reduced service | $75.86 | $102.33 | $138.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $40.74 Typical High $56.23 | Professional | 53 · Discontinued | $30.20 | $40.74 | $56.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $151.36 Typical High $208.93 | Professional | 54 · Surgery only | $112.20 | $151.36 | $208.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.90 Typical High $41.69 | Professional | 55 · Aftercare only | $22.39 | $30.90 | $41.69 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $20.42 Typical High $27.54 | Professional | 56 · Pre-op care only | $15.14 | $20.42 | $27.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $104.71 Median $141.25 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $104.71 | $141.25 | $194.98 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 7th of 51
$295
AK $603KY $155
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.