How much rates vary
Facilitymedian $912 · 10th to 90th $525 to $1,549Professionalmedian $776 · 10th to 90th $525 to $1,288
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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $741.31 | Professional | None | $457.09 | $537.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $645.65 Typical High $812.83 | Facility | None | $512.86 | $645.65 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,318.26 | Professional | None | $549.54 | $758.58 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,148.15 | Professional | None | $588.84 | $776.25 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $7,943.28 | Facility | None | $588.84 | $1,071.52 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,071.52 | Professional | None | $524.81 | $741.31 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,202.26 | Facility | None | $588.84 | $954.99 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $524.81 Median $676.08 Typical High $1,548.82 | Facility | None | $524.81 | $676.08 | $1,548.82 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $812.83 Typical High $1,288.25 | Professional | None | $79.43 | $812.83 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $9,772.37 Typical High $11,220.18 | Facility | None | $4,570.88 | $9,772.37 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,122.02 | Professional | None | $707.95 | $933.25 | $1,122.02 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $575.44 Median $933.25 Typical High $1,412.54 | Professional | None | $575.44 | $933.25 | $1,412.54 |
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 $229.09 Median $269.15 Typical High $371.54 | Professional | 52 · Reduced service | $229.09 | $269.15 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $107.15 Typical High $147.91 | Professional | 53 · Discontinued | $91.20 | $107.15 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $407.38 Typical High $549.54 | Professional | 54 · Surgery only | $338.84 | $407.38 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $81.28 Typical High $112.20 | Professional | 55 · Aftercare only | $67.61 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $53.70 Typical High $74.13 | Professional | 56 · Pre-op care only | $45.71 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $380.19 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $316.23 | $380.19 | $512.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $269.15 Typical High $371.54 | Professional | 52 · Reduced service | $229.09 | $269.15 | $371.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $107.15 Typical High $147.91 | Professional | 53 · Discontinued | $91.20 | $107.15 | $147.91 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $407.38 Typical High $549.54 | Professional | 54 · Surgery only | $338.84 | $407.38 | $549.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $81.28 Typical High $112.20 | Professional | 55 · Aftercare only | $67.61 | $81.28 | $112.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $53.70 Typical High $74.13 | Professional | 56 · Pre-op care only | $45.71 | $53.70 | $74.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $380.19 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $316.23 | $380.19 | $512.86 |
Where Oregon sits
The same service costs 5.1 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
$832
AK $1,514TX $295
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.