How much rates vary
Facilitymedian $1,738 · 10th to 90th $977 to $5,129Professionalmedian $1,413 · 10th to 90th $813 to $2,344
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 $707.95 Median $1,023.29 Typical High $1,288.25 | Professional | None | $707.95 | $1,023.29 | $1,288.25 |
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 $1,047.13 Median $1,380.38 Typical High $2,454.71 | Professional | None | $1,047.13 | $1,380.38 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,230.27 | $1,584.89 | $2,344.23 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $13,182.57 | Facility | None | $1,122.02 | $1,862.09 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,905.46 | Professional | None | $776.25 | $1,288.25 | $1,905.46 |
Pacific Source Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,047.13 | $1,737.80 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $2,041.74 Typical High $2,884.03 | Facility | None | $1,000.00 | $2,041.74 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,479.11 Typical High $2,398.83 | Professional | None | $79.43 | $1,479.11 | $2,398.83 |
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 $1,380.38 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,380.38 | $1,737.80 | $2,187.76 |
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 $1,047.13 Median $1,584.89 Typical High $2,511.89 | Professional | None | $1,047.13 | $1,584.89 | $2,511.89 |
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 $354.81 Median $512.86 Typical High $645.65 | Professional | 52 · Reduced service | $354.81 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $144.54 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $758.58 Typical High $977.24 | Professional | 54 · Surgery only | $537.03 | $758.58 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $151.36 Typical High $194.98 | Professional | 55 · Aftercare only | $107.15 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $102.33 Typical High $128.82 | Professional | 56 · Pre-op care only | $70.79 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $707.95 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $501.19 | $707.95 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $512.86 Typical High $645.65 | Professional | 52 · Reduced service | $354.81 | $512.86 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $144.54 | $204.17 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $758.58 Typical High $977.24 | Professional | 54 · Surgery only | $537.03 | $758.58 | $977.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $151.36 Typical High $194.98 | Professional | 55 · Aftercare only | $107.15 | $151.36 | $194.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $102.33 Typical High $128.82 | Professional | 56 · Pre-op care only | $70.79 | $102.33 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $707.95 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $501.19 | $707.95 | $912.01 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $6,113DE $1,645
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.