How much rates vary
Facilitymedian $468 · 10th to 90th $288 to $1,950Professionalmedian $355 · 10th to 90th $174 to $589
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 $151.36 Median $234.42 Typical High $416.87 | Professional | None | $151.36 | $234.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $660.69 | Facility | None | $269.15 | $338.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $676.08 | Professional | None | $251.19 | $380.19 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $602.56 | Professional | None | $263.03 | $363.08 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $6,606.93 | Facility | None | $338.84 | $537.03 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $288.40 Typical High $489.78 | Professional | None | $154.88 | $288.40 | $489.78 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $467.74 Typical High $512.86 | Facility | None | $288.40 | $467.74 | $512.86 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $707.95 | Facility | None | $269.15 | $371.54 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $380.19 Typical High $630.96 | Professional | None | $79.43 | $380.19 | $630.96 |
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 $323.59 Median $467.74 Typical High $524.81 | Professional | None | $323.59 | $467.74 | $524.81 |
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 $245.47 Median $426.58 Typical High $691.83 | Professional | None | $245.47 | $426.58 | $691.83 |
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 $104.71 Median $117.49 Typical High $181.97 | Professional | 52 · Reduced service | $104.71 | $117.49 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $46.77 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $177.83 Typical High $275.42 | Professional | 54 · Surgery only | $154.88 | $177.83 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $35.48 Typical High $54.95 | Professional | 55 · Aftercare only | $30.90 | $35.48 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $23.44 Typical High $36.31 | Professional | 56 · Pre-op care only | $20.89 | $23.44 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $165.96 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $144.54 | $165.96 | $257.04 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $117.49 Typical High $181.97 | Professional | 52 · Reduced service | $104.71 | $117.49 | $181.97 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $74.13 | Professional | 53 · Discontinued | $41.69 | $46.77 | $74.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $177.83 Typical High $275.42 | Professional | 54 · Surgery only | $154.88 | $177.83 | $275.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $35.48 Typical High $54.95 | Professional | 55 · Aftercare only | $30.90 | $35.48 | $54.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $23.44 Typical High $36.31 | Professional | 56 · Pre-op care only | $20.89 | $23.44 | $36.31 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $165.96 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $144.54 | $165.96 | $257.04 |
Where Oregon sits
The same service costs 3.4 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· 5th of 51
$389
AK $692KY $204
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.