How much rates vary
Facilitymedian $372 · 10th to 90th $229 to $3,236Professionalmedian $288 · 10th to 90th $155 to $490
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 $123.03 Median $177.83 Typical High $288.40 | Professional | None | $123.03 | $177.83 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $660.69 | Facility | None | $229.09 | $288.40 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $537.03 | Professional | None | $181.97 | $295.12 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $489.78 | Professional | None | $199.53 | $275.42 | $489.78 |
Moda Health Setting Facility Modifier None Typical Low $245.47 Median $416.87 Typical High $6,606.93 | Facility | None | $245.47 | $416.87 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $398.11 | Professional | None | $154.88 | $229.09 | $398.11 |
Pacific Source Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $398.11 | Facility | None | $223.87 | $363.08 | $398.11 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $707.95 | Facility | None | $229.09 | $295.12 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $288.40 Typical High $501.19 | Professional | None | $79.43 | $288.40 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $6,456.54 | Facility | None | $4,073.80 | $5,623.41 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $398.11 | Professional | None | $234.42 | $371.54 | $398.11 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $186.21 Median $323.59 Typical High $537.03 | Professional | None | $186.21 | $323.59 | $537.03 |
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 $85.11 Typical High $144.54 | Professional | 52 · Reduced service | $75.86 | $85.11 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $58.88 | Professional | 53 · Discontinued | $30.90 | $34.67 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $128.82 Typical High $218.78 | Professional | 54 · Surgery only | $114.82 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.70 Typical High $43.65 | Professional | 55 · Aftercare only | $22.91 | $25.70 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $17.38 Typical High $28.84 | Professional | 56 · Pre-op care only | $15.49 | $17.38 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $120.23 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $107.15 | $120.23 | $204.17 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $85.11 Typical High $144.54 | Professional | 52 · Reduced service | $75.86 | $85.11 | $144.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $34.67 Typical High $58.88 | Professional | 53 · Discontinued | $30.90 | $34.67 | $58.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $128.82 Typical High $218.78 | Professional | 54 · Surgery only | $114.82 | $128.82 | $218.78 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $25.70 Typical High $43.65 | Professional | 55 · Aftercare only | $22.91 | $25.70 | $43.65 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $17.38 Typical High $28.84 | Professional | 56 · Pre-op care only | $15.49 | $17.38 | $28.84 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $120.23 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $107.15 | $120.23 | $204.17 |
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
$324
AK $501KY $138
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.