How much rates vary
Facilitymedian $741 · 10th to 90th $427 to $1,660Professionalmedian $525 · 10th to 90th $263 to $933
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 $426.58 Median $7,943.28 Typical High $17,378.01 | Facility | None | $426.58 | $7,943.28 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $630.96 | Professional | None | $245.47 | $346.74 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $1,096.48 | Facility | None | $660.69 | $812.83 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $588.84 Typical High $1,071.52 | Professional | None | $363.08 | $588.84 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $954.99 | Professional | None | $389.05 | $524.81 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $426.58 Median $776.25 Typical High $13,182.57 | Facility | None | $426.58 | $776.25 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $245.47 Median $426.58 Typical High $776.25 | Professional | None | $245.47 | $426.58 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $794.33 | Facility | None | $457.09 | $724.44 | $794.33 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $812.83 Typical High $1,096.48 | Facility | None | $478.63 | $812.83 | $1,096.48 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $588.84 Typical High $1,000.00 | Professional | None | $79.43 | $588.84 | $1,000.00 |
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 $467.74 Median $741.31 Typical High $794.33 | Professional | None | $467.74 | $741.31 | $794.33 |
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 $371.54 Median $645.65 Typical High $1,071.52 | Professional | None | $371.54 | $645.65 | $1,071.52 |
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 $162.18 Median $173.78 Typical High $295.12 | Professional | 52 · Reduced service | $162.18 | $173.78 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $117.49 | Professional | 53 · Discontinued | $64.57 | $70.79 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $263.03 Typical High $436.52 | Professional | 54 · Surgery only | $245.47 | $263.03 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $52.48 Typical High $87.10 | Professional | 55 · Aftercare only | $48.98 | $52.48 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $34.67 Typical High $58.88 | Professional | 56 · Pre-op care only | $32.36 | $34.67 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $245.47 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $229.09 | $245.47 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $173.78 Typical High $295.12 | Professional | 52 · Reduced service | $162.18 | $173.78 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $117.49 | Professional | 53 · Discontinued | $64.57 | $70.79 | $117.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $263.03 Typical High $436.52 | Professional | 54 · Surgery only | $245.47 | $263.03 | $436.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $52.48 Typical High $87.10 | Professional | 55 · Aftercare only | $48.98 | $52.48 | $87.10 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $34.67 Typical High $58.88 | Professional | 56 · Pre-op care only | $32.36 | $34.67 | $58.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $245.47 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $229.09 | $245.47 | $407.38 |
Where Oregon sits
The same service costs 3.3 times more in Alaska than in Utah. 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
$589
AK $1,000UT $302
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.