How much rates vary
Facilitymedian $603 · 10th to 90th $363 to $1,950Professionalmedian $437 · 10th to 90th $209 to $741
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 $186.21 Median $295.12 Typical High $457.09 | Professional | None | $186.21 | $295.12 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $1,023.29 | Facility | None | $602.56 | $776.25 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $831.76 | Professional | None | $309.03 | $467.74 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $758.58 | Professional | None | $331.13 | $446.68 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $8,709.64 | Facility | None | $426.58 | $645.65 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $186.21 Median $346.74 Typical High $602.56 | Professional | None | $186.21 | $346.74 | $602.56 |
Pacific Source Setting Facility Modifier None Typical Low $354.81 Median $575.44 Typical High $630.96 | Facility | None | $354.81 | $575.44 | $630.96 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $741.31 Typical High $1,023.29 | Facility | None | $436.52 | $741.31 | $1,023.29 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $467.74 Typical High $776.25 | Professional | None | $79.43 | $467.74 | $776.25 |
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 $407.38 Median $575.44 Typical High $630.96 | Professional | None | $407.38 | $575.44 | $630.96 |
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 $323.59 Median $524.81 Typical High $851.14 | Professional | None | $323.59 | $524.81 | $851.14 |
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 $125.89 Median $147.91 Typical High $223.87 | Professional | 52 · Reduced service | $125.89 | $147.91 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $58.88 Typical High $89.13 | Professional | 53 · Discontinued | $50.12 | $58.88 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $223.87 Typical High $338.84 | Professional | 54 · Surgery only | $186.21 | $223.87 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $44.67 Typical High $67.61 | Professional | 55 · Aftercare only | $37.15 | $44.67 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $29.51 Typical High $44.67 | Professional | 56 · Pre-op care only | $25.12 | $29.51 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $208.93 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $173.78 | $208.93 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $147.91 Typical High $223.87 | Professional | 52 · Reduced service | $125.89 | $147.91 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $58.88 Typical High $89.13 | Professional | 53 · Discontinued | $50.12 | $58.88 | $89.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $223.87 Typical High $338.84 | Professional | 54 · Surgery only | $186.21 | $223.87 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $44.67 Typical High $67.61 | Professional | 55 · Aftercare only | $37.15 | $44.67 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $29.51 Typical High $44.67 | Professional | 56 · Pre-op care only | $25.12 | $29.51 | $44.67 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $208.93 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $173.78 | $208.93 | $316.23 |
Where Oregon sits
The same service costs 3.6 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· 4th of 51
$513
AK $851KY $234
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.