How much rates vary
Facilitymedian $347 · 10th to 90th $178 to $1,514Professionalmedian $257 · 10th to 90th $132 to $457
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 $257.04 Median $4,265.80 Typical High $7,943.28 | Facility | None | $257.04 | $4,265.80 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $281.84 | Professional | None | $112.20 | $177.83 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $251.19 Typical High $346.74 | Facility | None | $141.25 | $251.19 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $275.42 Typical High $501.19 | Professional | None | $162.18 | $275.42 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $457.09 | Professional | None | $190.55 | $263.03 | $457.09 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $446.68 Typical High $5,011.87 | Facility | None | $173.78 | $446.68 | $5,011.87 |
Moda Health Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $380.19 | Professional | None | $120.23 | $208.93 | $380.19 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $389.05 | Facility | None | $190.55 | $354.81 | $389.05 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $269.15 Typical High $457.09 | Facility | None | $151.36 | $269.15 | $457.09 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $275.42 Typical High $489.78 | Professional | None | $79.43 | $275.42 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $2,511.89 | Facility | None | $1,479.11 | $2,137.96 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $346.74 Typical High $371.54 | Professional | None | $208.93 | $346.74 | $371.54 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $173.78 Median $302.00 Typical High $501.19 | Professional | None | $173.78 | $302.00 | $501.19 |
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 $79.43 Median $79.43 Typical High $141.25 | Professional | 52 · Reduced service | $79.43 | $79.43 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $56.23 | Professional | 53 · Discontinued | $32.36 | $32.36 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $120.23 Typical High $213.80 | Professional | 54 · Surgery only | $120.23 | $120.23 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $28.18 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $112.20 | $112.20 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $141.25 | Professional | 52 · Reduced service | $79.43 | $79.43 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $56.23 | Professional | 53 · Discontinued | $32.36 | $32.36 | $56.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $120.23 Typical High $213.80 | Professional | 54 · Surgery only | $120.23 | $120.23 | $213.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $42.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $28.18 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $28.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $112.20 | $112.20 | $199.53 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$282
AK $490FL $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.