How much rates vary
Facilitymedian $1,072 · 10th to 90th $676 to $7,762Professionalmedian $871 · 10th to 90th $589 to $1,380
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 $524.81 Median $616.60 Typical High $794.33 | Professional | None | $524.81 | $616.60 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $5,623.41 Typical High $7,762.47 | Facility | None | $891.25 | $5,623.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,445.44 | Professional | None | $588.84 | $831.76 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,445.44 | Professional | None | $831.76 | $1,096.48 | $1,445.44 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $1,380.38 Typical High $7,943.28 | Facility | None | $794.33 | $1,380.38 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,174.90 | Professional | None | $616.60 | $794.33 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $645.65 Median $1,023.29 Typical High $1,202.26 | Facility | None | $645.65 | $1,023.29 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $4,570.88 Typical High $7,762.47 | Facility | None | $870.96 | $4,570.88 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $933.25 Typical High $1,412.54 | Professional | None | $79.43 | $933.25 | $1,412.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $20,417.38 Typical High $23,442.29 | Facility | None | $14,454.40 | $20,417.38 | $23,442.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,230.27 | Professional | None | $831.76 | $1,023.29 | $1,230.27 |
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 $645.65 Median $933.25 Typical High $1,513.56 | Professional | None | $645.65 | $933.25 | $1,513.56 |
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 $302.00 Median $309.03 Typical High $398.11 | Professional | 52 · Reduced service | $302.00 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $123.03 Typical High $158.49 | Professional | 53 · Discontinued | $120.23 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $467.74 Typical High $588.84 | Professional | 54 · Surgery only | $457.09 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $93.33 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $61.66 Typical High $79.43 | Professional | 56 · Pre-op care only | $60.26 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $436.52 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $426.58 | $436.52 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $309.03 | $398.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $123.03 | $158.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | 54 · Surgery only | $467.74 | $467.74 | $588.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $79.43 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $549.54 |
Where Oregon sits
The same service costs 5.5 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· 8th of 51
$933
AK $2,089TX $380
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.