How much rates vary
Facilitymedian $513 · 10th to 90th $309 to $1,950Professionalmedian $398 · 10th to 90th $191 to $646
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $489.78 | Professional | None | $173.78 | $281.84 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $660.69 | Facility | None | $281.84 | $354.81 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $741.31 | Professional | None | $281.84 | $416.87 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $676.08 | Professional | None | $302.00 | $407.38 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $575.44 Typical High $6,606.93 | Facility | None | $331.13 | $575.44 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $323.59 Typical High $562.34 | Professional | None | $165.96 | $323.59 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $562.34 | Facility | None | $309.03 | $501.19 | $562.34 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $407.38 Typical High $776.25 | Facility | None | $281.84 | $407.38 | $776.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $416.87 Typical High $707.95 | Professional | None | $79.43 | $416.87 | $707.95 |
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 $371.54 Median $512.86 Typical High $575.44 | Professional | None | $371.54 | $512.86 | $575.44 |
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 $281.84 Median $478.63 Typical High $758.58 | Professional | None | $281.84 | $478.63 | $758.58 |
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 $112.20 Median $134.90 Typical High $199.53 | Professional | 52 · Reduced service | $112.20 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $53.70 Typical High $81.28 | Professional | 53 · Discontinued | $45.71 | $53.70 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $199.53 Typical High $302.00 | Professional | 54 · Surgery only | $169.82 | $199.53 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $39.81 Typical High $60.26 | Professional | 55 · Aftercare only | $33.88 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $26.92 Typical High $40.74 | Professional | 56 · Pre-op care only | $22.91 | $26.92 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $158.49 | $186.21 | $281.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $134.90 Typical High $199.53 | Professional | 52 · Reduced service | $112.20 | $134.90 | $199.53 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $53.70 Typical High $81.28 | Professional | 53 · Discontinued | $45.71 | $53.70 | $81.28 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $199.53 Typical High $302.00 | Professional | 54 · Surgery only | $169.82 | $199.53 | $302.00 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $39.81 Typical High $60.26 | Professional | 55 · Aftercare only | $33.88 | $39.81 | $60.26 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $26.92 Typical High $40.74 | Professional | 56 · Pre-op care only | $22.91 | $26.92 | $40.74 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $158.49 | $186.21 | $281.84 |
Where Oregon sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 6th of 51
$417
AK $776TX $214
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.