How much rates vary
Facilitymedian $955 · 10th to 90th $603 to $6,026Professionalmedian $759 · 10th to 90th $501 to $1,175
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 $5,623.41 Typical High $8,709.64 | Facility | None | $3,890.45 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $707.95 | Professional | None | $457.09 | $537.03 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,754.23 Typical High $3,801.89 | Facility | None | $891.25 | $2,754.23 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $1,230.27 | Professional | None | $501.19 | $691.83 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,202.26 | Professional | None | $676.08 | $912.01 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $8,709.64 | Facility | None | $707.95 | $1,148.15 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,071.52 | Professional | None | $537.03 | $707.95 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $1,000.00 | Facility | None | $562.34 | $912.01 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $2,238.72 Typical High $3,801.89 | Facility | None | $724.44 | $2,238.72 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $794.33 Typical High $1,202.26 | Professional | None | $79.43 | $794.33 | $1,202.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $10,964.78 Typical High $12,882.50 | Facility | None | $7,413.10 | $10,964.78 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | None | $691.83 | $891.25 | $1,047.13 |
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 $562.34 Median $812.83 Typical High $1,258.93 | Professional | None | $562.34 | $812.83 | $1,258.93 |
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 $263.03 Median $269.15 Typical High $354.81 | Professional | 52 · Reduced service | $263.03 | $269.15 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | 53 · Discontinued | $107.15 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $524.81 | Professional | 54 · Surgery only | $398.11 | $398.11 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $53.70 Typical High $70.79 | Professional | 56 · Pre-op care only | $52.48 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $489.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | 52 · Reduced service | $269.15 | $269.15 | $354.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | 53 · Discontinued | $107.15 | $107.15 | $141.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $524.81 | Professional | 54 · Surgery only | $398.11 | $398.11 | $524.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $104.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $70.79 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $70.79 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $489.78 |
Where Oregon sits
The same service costs 6.0 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.
Oregon· 8th of 51
$794
AK $1,778TX $295
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.