How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,905 to $14,125Professionalmedian $2,951 · 10th to 90th $1,622 to $4,365
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 $5,128.61 Median $13,489.63 Typical High $33,884.42 | Facility | None | $5,128.61 | $13,489.63 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,089.30 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $9,549.93 Typical High $12,882.50 | Facility | None | $1,949.84 | $9,549.93 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $4,466.84 | Professional | None | $1,659.59 | $2,630.27 | $4,466.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $3,981.07 | Professional | None | $2,754.23 | $3,235.94 | $3,981.07 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $4,265.80 Typical High $33,884.42 | Facility | None | $2,290.87 | $4,265.80 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $3,715.35 | Professional | None | $2,290.87 | $2,511.89 | $3,715.35 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $3,235.94 | Facility | None | $1,905.46 | $3,090.30 | $3,235.94 |
Providence Setting Facility Modifier None Typical Low $1,949.84 Median $8,511.38 Typical High $12,882.50 | Facility | None | $1,949.84 | $8,511.38 | $12,882.50 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,951.21 Typical High $4,466.84 | Professional | None | $79.43 | $2,951.21 | $4,466.84 |
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 $3,019.95 Median $3,235.94 Typical High $4,265.80 | Professional | None | $3,019.95 | $3,235.94 | $4,265.80 |
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 $1,862.09 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,862.09 | $2,884.03 | $4,786.30 |
13 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 $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $912.01 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $363.08 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,380.38 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $275.42 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,621.81 | $1,621.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,737.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,621.81 |
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 20.0 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· 9th of 51
$3,020
AK $6,457TX $324
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.