How much rates vary
Facilitymedian $5,495 · 10th to 90th $3,467 to $12,023Professionalmedian $5,248 · 10th to 90th $2,951 to $8,128
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 $3,801.89 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,801.89 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $8,709.64 Typical High $12,022.64 | Facility | None | $1,258.93 | $8,709.64 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $8,128.31 | Professional | None | $3,090.30 | $4,897.79 | $8,128.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,011.87 Median $5,888.44 Typical High $7,079.46 | Professional | None | $5,011.87 | $5,888.44 | $7,079.46 |
Moda Health Setting Facility Modifier None Typical Low $4,168.69 Median $7,762.47 Typical High $18,620.87 | Facility | None | $4,168.69 | $7,762.47 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $6,606.93 | Professional | None | $4,168.69 | $4,365.16 | $6,606.93 |
Pacific Source Setting Facility Modifier None Typical Low $3,467.37 Median $5,128.61 Typical High $6,025.60 | Facility | None | $3,467.37 | $5,128.61 | $6,025.60 |
Providence Setting Facility Modifier None Typical Low $1,348.96 Median $8,128.31 Typical High $12,022.64 | Facility | None | $1,348.96 | $8,128.31 | $12,022.64 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $5,248.07 Typical High $8,128.31 | Professional | None | $79.43 | $5,248.07 | $8,128.31 |
Regence BlueShield Setting Facility Modifier None Typical Low $17,782.79 Median $25,118.86 Typical High $28,183.83 | Facility | None | $17,782.79 | $25,118.86 | $28,183.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,754.40 Median $6,025.60 Typical High $7,762.47 | Professional | None | $5,754.40 | $6,025.60 | $7,762.47 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $8,709.64 | Professional | None | $3,467.37 | $5,370.32 | $8,709.64 |
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 $1,698.24 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,698.24 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $831.76 Typical High $831.76 | Professional | 53 · Discontinued | $676.08 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,570.40 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $512.86 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $338.84 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $2,884.03 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $2,398.83 | $2,884.03 | $2,884.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $2,089.30 | $2,089.30 | $2,089.30 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 53 · Discontinued | $831.76 | $831.76 | $831.76 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $3,090.30 | $3,090.30 | $3,090.30 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $616.60 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $416.87 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $2,884.03 | $2,884.03 | $2,884.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $26,915.35 Median $37,153.52 Typical High $42,657.95 | Facility | 50 · Both sides | $26,915.35 | $37,153.52 | $42,657.95 |
Where Oregon sits
The same service costs 4.0 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.
Physician feeFacility fee
AK $21,795TX $5,500
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.