How much rates vary
Facilitymedian $1,288 · 10th to 90th $933 to $7,586Professionalmedian $1,072 · 10th to 90th $759 to $1,660
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 $954.99 Median $12,302.69 Typical High $33,884.42 | Facility | None | $954.99 | $12,302.69 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $954.99 | Professional | None | $645.65 | $776.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $4,073.80 Typical High $5,495.41 | Facility | None | $1,949.84 | $4,073.80 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,698.24 | Professional | None | $676.08 | $954.99 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,659.59 | Professional | None | $977.24 | $1,258.93 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $19,054.61 | Facility | None | $1,023.29 | $1,621.81 | $19,054.61 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,479.11 | Professional | None | $776.25 | $954.99 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,513.56 | Facility | None | $776.25 | $1,258.93 | $1,513.56 |
Providence Setting Facility Modifier None Typical Low $1,071.52 Median $3,235.94 Typical High $5,248.07 | Facility | None | $1,071.52 | $3,235.94 | $5,248.07 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,148.15 Typical High $1,698.24 | Professional | None | $79.43 | $1,148.15 | $1,698.24 |
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 $1,023.29 Median $1,202.26 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,202.26 | $1,513.56 |
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 $776.25 Median $1,148.15 Typical High $1,819.70 | Professional | None | $776.25 | $1,148.15 | $1,819.70 |
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 $371.54 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $371.54 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $190.55 | Professional | 53 · Discontinued | $147.91 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $588.84 Typical High $707.95 | Professional | 54 · Surgery only | $549.54 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $112.20 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $77.62 Typical High $95.50 | Professional | 56 · Pre-op care only | $74.13 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $549.54 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $512.86 | $549.54 | $660.69 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $389.05 | $478.63 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | 53 · Discontinued | $158.49 | $158.49 | $190.55 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | 54 · Surgery only | $588.84 | $588.84 | $707.95 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $95.50 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $660.69 |
Where Oregon sits
The same service costs 6.2 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
$1,148
AK $2,570TX $417
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.