How much rates vary
Facilitymedian $759 · 10th to 90th $468 to $5,129Professionalmedian $603 · 10th to 90th $324 to $1,000
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $549.54 | Professional | None | $288.40 | $446.68 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $3,162.28 | Facility | None | $891.25 | $2,344.23 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $1,071.52 | Professional | None | $457.09 | $602.56 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $954.99 | Professional | None | $512.86 | $676.08 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $812.83 Typical High $7,943.28 | Facility | None | $549.54 | $812.83 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $316.23 Median $512.86 Typical High $794.33 | Professional | None | $316.23 | $512.86 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $794.33 | Facility | None | $446.68 | $741.31 | $794.33 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $1,905.46 Typical High $3,162.28 | Facility | None | $588.84 | $1,905.46 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $616.60 Typical High $1,023.29 | Professional | None | $79.43 | $616.60 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $9,772.37 Typical High $11,220.18 | Facility | None | $6,918.31 | $9,772.37 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $954.99 | Professional | None | $602.56 | $707.95 | $954.99 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $457.09 Median $676.08 Typical High $1,122.02 | Professional | None | $457.09 | $676.08 | $1,122.02 |
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 $151.36 Median $223.87 Typical High $275.42 | Professional | 52 · Reduced service | $151.36 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $89.13 Typical High $109.65 | Professional | 53 · Discontinued | $61.66 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $338.84 Typical High $416.87 | Professional | 54 · Surgery only | $229.09 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $67.61 Typical High $83.18 | Professional | 55 · Aftercare only | $45.71 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $44.67 Typical High $54.95 | Professional | 56 · Pre-op care only | $30.90 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $316.23 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $213.80 | $316.23 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $223.87 Typical High $275.42 | Professional | 52 · Reduced service | $151.36 | $223.87 | $275.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $89.13 Typical High $109.65 | Professional | 53 · Discontinued | $61.66 | $89.13 | $109.65 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $338.84 Typical High $416.87 | Professional | 54 · Surgery only | $229.09 | $338.84 | $416.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $67.61 Typical High $83.18 | Professional | 55 · Aftercare only | $45.71 | $67.61 | $83.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $44.67 Typical High $54.95 | Professional | 56 · Pre-op care only | $30.90 | $44.67 | $54.95 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $316.23 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $213.80 | $316.23 | $389.05 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in New Jersey. 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
$661
AK $1,549NJ $347
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.