How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,950 to $5,754Professionalmedian $3,548 · 10th to 90th $2,455 to $5,495
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 Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,454.71 | $2,454.71 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,862.09 Typical High $2,511.89 | Facility | None | $870.96 | $1,862.09 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,162.28 Typical High $5,495.41 | Professional | None | $2,238.72 | $3,162.28 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $5,495.41 | Professional | None | $3,019.95 | $4,073.80 | $5,495.41 |
Moda Health Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $6,025.60 | Facility | None | $3,019.95 | $4,365.16 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $4,677.35 | Professional | None | $2,454.71 | $3,090.30 | $4,677.35 |
Pacific Source Setting Facility Modifier None Typical Low $2,570.40 Median $4,168.69 Typical High $4,897.79 | Facility | None | $2,570.40 | $4,168.69 | $4,897.79 |
Providence Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $5,754.40 | Facility | None | $1,071.52 | $2,137.96 | $5,754.40 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,715.35 Typical High $5,495.41 | Professional | None | $79.43 | $3,715.35 | $5,495.41 |
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 $3,311.31 Median $4,073.80 Typical High $4,897.79 | Professional | None | $3,311.31 | $4,073.80 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,888.44 | Professional | None | $2,570.40 | $3,801.89 | $5,888.44 |
11 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 $1,202.26 Median $1,230.27 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,202.26 | $1,230.27 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $501.19 Typical High $602.56 | Professional | 53 · Discontinued | $489.78 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $371.54 Typical High $457.09 | Professional | 55 · Aftercare only | $363.08 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,737.80 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,737.80 | $2,137.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,230.27 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,513.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $602.56 | Professional | 53 · Discontinued | $501.19 | $501.19 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $457.09 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $457.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $302.00 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,737.80 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,737.80 | $2,137.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $21,877.62 Median $30,199.52 Typical High $34,673.69 | Facility | 50 · Both sides | $21,877.62 | $30,199.52 | $34,673.69 |
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
$3,548
AK $6,918TX $1,259
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.