How much rates vary
Facilitymedian $741 · 10th to 90th $234 to $977Professionalmedian $575 · 10th to 90th $309 to $977
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 $218.78 Median $316.23 Typical High $602.56 | Professional | None | $218.78 | $316.23 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $831.76 | Facility | None | $51.29 | $95.50 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $588.84 Typical High $1,071.52 | Professional | None | $331.13 | $588.84 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $954.99 | Professional | None | $371.54 | $501.19 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $338.84 Median $691.83 Typical High $7,943.28 | Facility | None | $338.84 | $691.83 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $269.15 Median $457.09 Typical High $794.33 | Professional | None | $269.15 | $457.09 | $794.33 |
Pacific Source Setting Facility Modifier None Typical Low $407.38 Median $758.58 Typical High $870.96 | Facility | None | $407.38 | $758.58 | $870.96 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $602.56 Typical High $1,122.02 | Facility | None | $100.00 | $602.56 | $1,122.02 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $562.34 Typical High $1,023.29 | Professional | None | $79.43 | $562.34 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $1,096.48 Typical High $1,621.81 | Facility | None | $524.81 | $1,096.48 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $794.33 | Professional | None | $416.87 | $707.95 | $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 $354.81 Median $630.96 Typical High $1,071.52 | Professional | None | $354.81 | $630.96 | $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 $158.49 Median $158.49 Typical High $302.00 | Professional | 52 · Reduced service | $158.49 | $158.49 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $120.23 | Professional | 53 · Discontinued | $63.10 | $63.10 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $457.09 | Professional | 54 · Surgery only | $234.42 | $234.42 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $91.20 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $60.26 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $218.78 | $218.78 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | 52 · Reduced service | $158.49 | $158.49 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $120.23 | Professional | 53 · Discontinued | $63.10 | $63.10 | $120.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $457.09 | Professional | 54 · Surgery only | $234.42 | $234.42 | $457.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $91.20 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $91.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $60.26 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $60.26 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $218.78 | $218.78 | $426.58 |
Where Oregon sits
The same service costs 4.6 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· 4th of 51
$617
AK $1,000TX $219
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.