How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,413 to $3,981Professionalmedian $2,138 · 10th to 90th $1,479 to $3,388
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 $1,479.11 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,479.11 | $1,479.11 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,380.38 Typical High $1,819.70 | Facility | None | $794.33 | $1,380.38 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,479.11 | $2,041.74 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,454.71 Typical High $3,548.13 | Professional | None | $1,819.70 | $2,454.71 | $3,548.13 |
Moda Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $3,801.89 | Facility | None | $1,949.84 | $2,754.23 | $3,801.89 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $3,019.95 | Professional | None | $1,479.11 | $1,949.84 | $3,019.95 |
Pacific Source Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $3,019.95 | Facility | None | $1,621.81 | $2,630.27 | $3,019.95 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,000.00 | $1,513.56 | $3,311.31 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,290.87 Typical High $3,388.44 | Professional | None | $79.43 | $2,290.87 | $3,388.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $11,220.18 Typical High $12,882.50 | Facility | None | $7,413.10 | $11,220.18 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $2,951.21 | Professional | None | $1,949.84 | $2,570.40 | $2,951.21 |
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 $1,621.81 Median $2,344.23 Typical High $3,801.89 | Professional | None | $1,621.81 | $2,344.23 | $3,801.89 |
10 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 $741.31 Median $741.31 Typical High $977.24 | Professional | 52 · Reduced service | $741.31 | $741.31 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $389.05 | Professional | 53 · Discontinued | $295.12 | $295.12 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,348.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $741.31 Typical High $977.24 | Professional | 52 · Reduced service | $741.31 | $741.31 | $977.24 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $389.05 | Professional | 53 · Discontinued | $295.12 | $295.12 | $389.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $288.40 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $194.98 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,348.96 |
Where Oregon sits
The same service costs 5.0 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
$2,239
AK $4,169TX $832
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.