How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,047 to $5,129Professionalmedian $1,622 · 10th to 90th $851 to $2,570
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 $1,445.44 Median $5,623.41 Typical High $8,709.64 | Facility | None | $1,445.44 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,659.59 | Professional | None | $741.31 | $1,174.90 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,137.96 Typical High $2,884.03 | Facility | None | $891.25 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,584.89 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,348.96 | $1,737.80 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $7,943.28 | Facility | None | $1,288.25 | $2,089.30 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $794.33 Median $1,318.26 Typical High $2,238.72 | Professional | None | $794.33 | $1,318.26 | $2,238.72 |
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 $912.01 Median $2,089.30 Typical High $2,884.03 | Facility | None | $912.01 | $2,089.30 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,659.59 Typical High $2,630.27 | Professional | None | $79.43 | $1,659.59 | $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 $1,621.81 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,621.81 | $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 $1,174.90 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,174.90 | $1,737.80 | $2,951.21 |
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 $407.38 Median $588.84 Typical High $707.95 | Professional | 52 · Reduced service | $407.38 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $234.42 Typical High $281.84 | Professional | 53 · Discontinued | $162.18 | $234.42 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $891.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $616.60 | $891.25 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $177.83 Typical High $213.80 | Professional | 55 · Aftercare only | $123.03 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $117.49 Typical High $141.25 | Professional | 56 · Pre-op care only | $81.28 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $831.76 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $575.44 | $831.76 | $1,000.00 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $588.84 Typical High $707.95 | Professional | 52 · Reduced service | $407.38 | $588.84 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $234.42 Typical High $281.84 | Professional | 53 · Discontinued | $162.18 | $234.42 | $281.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $891.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $616.60 | $891.25 | $1,071.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $177.83 Typical High $213.80 | Professional | 55 · Aftercare only | $123.03 | $177.83 | $213.80 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $117.49 Typical High $141.25 | Professional | 56 · Pre-op care only | $81.28 | $117.49 | $141.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $831.76 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $575.44 | $831.76 | $1,000.00 |
Where Oregon sits
The same service costs 4.4 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· 8th of 51
$1,660
AK $3,311TX $759
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.