How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,023 to $7,762Professionalmedian $1,549 · 10th to 90th $692 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 $794.33 Median $1,230.27 Typical High $1,318.26 | Professional | None | $794.33 | $1,230.27 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,398.83 Typical High $3,162.28 | Facility | None | $1,000.00 | $2,398.83 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,513.56 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,318.26 | $1,698.24 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $1,230.27 Median $2,511.89 Typical High $17,378.01 | Facility | None | $1,230.27 | $2,511.89 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,862.09 | Professional | None | $933.25 | $1,348.96 | $1,862.09 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,023.29 | $1,659.59 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $2,238.72 Typical High $3,162.28 | Facility | None | $1,000.00 | $2,238.72 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,584.89 Typical High $2,511.89 | Professional | None | $79.43 | $1,584.89 | $2,511.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $9,772.37 Typical High $11,220.18 | Facility | None | $6,918.31 | $9,772.37 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,659.59 | $1,819.70 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,202.26 | $1,621.81 | $2,884.03 |
13 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 $371.54 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $371.54 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $147.91 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $549.54 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $112.20 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $74.13 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $512.86 | $870.96 | $870.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $346.74 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $138.04 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $524.81 | $933.25 | $933.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $104.71 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $69.18 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $489.78 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,471.29 Median $14,791.08 Typical High $16,982.44 | Facility | 50 · Both sides | $10,471.29 | $14,791.08 | $16,982.44 |
Where Oregon sits
The same service costs 7.6 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· 9th of 51
$1,698
AK $3,631TX $479
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.