How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,096 to $7,586Professionalmedian $1,622 · 10th to 90th $741 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 $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 $831.76 Median $1,288.25 Typical High $1,380.38 | Professional | None | $831.76 | $1,288.25 | $1,380.38 |
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 $1,288.25 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,584.89 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,778.28 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $17,378.01 | Facility | None | $1,288.25 | $2,344.23 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $1,949.84 | Professional | None | $977.24 | $1,380.38 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $1,862.09 | Facility | None | $1,096.48 | $1,737.80 | $1,862.09 |
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 $1,621.81 Typical High $2,630.27 | Professional | None | $79.43 | $1,621.81 | $2,630.27 |
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 $1,737.80 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,737.80 | $1,862.09 | $2,344.23 |
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 $1,258.93 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,258.93 | $1,698.24 | $3,019.95 |
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 $389.05 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $389.05 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $154.88 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $588.84 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $117.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $77.62 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $549.54 | $912.01 | $912.01 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $371.54 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $147.91 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $549.54 | $977.24 | $977.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $109.65 | $194.98 | $194.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $74.13 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $512.86 | $912.01 | $912.01 |
Where Oregon sits
The same service costs 7.1 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· 9th of 51
$1,738
AK $3,802TX $537
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.