How much rates vary
Facilitymedian $398 · 10th to 90th $251 to $3,631Professionalmedian $316 · 10th to 90th $195 to $501
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $316.23 | Professional | None | $154.88 | $208.93 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $660.69 | Facility | None | $263.03 | $331.13 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $537.03 | Professional | None | $218.78 | $323.59 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $588.84 | Professional | None | $288.40 | $389.05 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $295.12 Median $446.68 Typical High $7,943.28 | Facility | None | $295.12 | $446.68 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $457.09 | Professional | None | $186.21 | $295.12 | $457.09 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $436.52 | Facility | None | $245.47 | $389.05 | $436.52 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $707.95 | Facility | None | $263.03 | $354.81 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $323.59 Typical High $537.03 | Professional | None | $79.43 | $323.59 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $6,456.54 | Facility | None | $4,073.80 | $5,623.41 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $446.68 | Professional | None | $281.84 | $416.87 | $446.68 |
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 $213.80 Median $338.84 Typical High $562.34 | Professional | None | $213.80 | $338.84 | $562.34 |
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 $104.71 Median $104.71 Typical High $158.49 | Professional | 52 · Reduced service | $104.71 | $104.71 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | 53 · Discontinued | $41.69 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $234.42 | Professional | 54 · Surgery only | $158.49 | $158.49 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $147.91 | $147.91 | $218.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | 52 · Reduced service | $104.71 | $104.71 | $158.49 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | 53 · Discontinued | $41.69 | $41.69 | $63.10 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $234.42 | Professional | 54 · Surgery only | $158.49 | $158.49 | $234.42 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $46.77 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $31.62 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $31.62 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $147.91 | $147.91 | $218.78 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 8th of 51
$324
AK $603FL $174
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.