How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,072 to $4,898Professionalmedian $1,549 · 10th to 90th $851 to $2,512
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 $5,128.61 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,659.59 | Professional | None | $741.31 | $1,148.15 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,187.76 Typical High $2,884.03 | Facility | None | $1,000.00 | $2,187.76 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,174.90 | $1,584.89 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,659.59 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $13,182.57 | Facility | None | $1,380.38 | $2,137.96 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,995.26 | Professional | None | $776.25 | $1,258.93 | $1,995.26 |
Pacific Source Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $1,995.26 | Facility | None | $1,148.15 | $1,862.09 | $1,995.26 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $2,884.03 | Facility | None | $1,023.29 | $2,137.96 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,621.81 Typical High $2,630.27 | Professional | None | $79.43 | $1,621.81 | $2,630.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,786.30 Median $6,456.54 Typical High $7,413.10 | Facility | None | $4,786.30 | $6,456.54 | $7,413.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,548.82 | $1,905.46 | $2,454.71 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,737.80 | $2,818.38 |
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 $416.87 Median $575.44 Typical High $707.95 | Professional | 52 · Reduced service | $416.87 | $575.44 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $229.09 Typical High $281.84 | Professional | 53 · Discontinued | $165.96 | $229.09 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $851.14 Typical High $1,047.13 | Professional | 54 · Surgery only | $616.60 | $851.14 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $169.82 Typical High $208.93 | Professional | 55 · Aftercare only | $125.89 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $114.82 Typical High $141.25 | Professional | 56 · Pre-op care only | $83.18 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $794.33 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $575.44 | $794.33 | $977.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $575.44 Typical High $707.95 | Professional | 52 · Reduced service | $416.87 | $575.44 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $229.09 Typical High $281.84 | Professional | 53 · Discontinued | $165.96 | $229.09 | $281.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $851.14 Typical High $1,047.13 | Professional | 54 · Surgery only | $616.60 | $851.14 | $1,047.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $169.82 Typical High $208.93 | Professional | 55 · Aftercare only | $125.89 | $169.82 | $208.93 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $114.82 Typical High $141.25 | Professional | 56 · Pre-op care only | $83.18 | $114.82 | $141.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $794.33 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $575.44 | $794.33 | $977.24 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 7th of 51
$1,660
AK $3,311TX $741
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.