How much rates vary
Facilitymedian $1,585 · 10th to 90th $1,000 to $7,943Professionalmedian $1,380 · 10th to 90th $776 to $2,239
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 $10,715.19 Typical High $18,620.87 | Facility | None | $5,128.61 | $10,715.19 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,174.90 | Professional | None | $630.96 | $933.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $3,019.95 Typical High $4,073.80 | Facility | None | $1,230.27 | $3,019.95 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,412.54 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,621.81 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $13,803.84 | Facility | None | $1,174.90 | $1,737.80 | $13,803.84 |
Moda Health Setting Professional Modifier None Typical Low $724.44 Median $1,174.90 Typical High $1,778.28 | Professional | None | $724.44 | $1,174.90 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $1,659.59 | Facility | None | $954.99 | $1,548.82 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $1,230.27 Median $2,454.71 Typical High $3,890.45 | Facility | None | $1,230.27 | $2,454.71 | $3,890.45 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,479.11 Typical High $2,238.72 | Professional | None | $79.43 | $1,479.11 | $2,238.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,120.11 Median $12,882.50 Typical High $15,135.61 | Facility | None | $9,120.11 | $12,882.50 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,659.59 | $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 $1,047.13 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,047.13 | $1,621.81 | $2,454.71 |
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 $436.52 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $436.52 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $173.78 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $891.25 | Professional | 54 · Surgery only | $645.65 | $707.95 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $131.83 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $87.10 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $467.74 | $467.74 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $186.21 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | 54 · Surgery only | $707.95 | $707.95 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $831.76 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,489.63 Median $19,498.45 Typical High $22,908.68 | Facility | 50 · Both sides | $13,489.63 | $19,498.45 | $22,908.68 |
Where Oregon sits
The same service costs 3.7 times more in Connecticut than in Arkansas. 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
CT $7,673AR $2,094
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.