How much rates vary
Facilitymedian $1,000 · 10th to 90th $589 to $4,467Professionalmedian $759 · 10th to 90th $457 to $1,202
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $758.58 | Professional | None | $457.09 | $457.09 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,698.24 | Facility | None | $831.76 | $1,258.93 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $1,258.93 | Professional | None | $501.19 | $776.25 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,412.54 | Professional | None | $645.65 | $912.01 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $1,071.52 Typical High $13,182.57 | Facility | None | $630.96 | $1,071.52 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $1,071.52 | Professional | None | $457.09 | $741.31 | $1,071.52 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,023.29 | Facility | None | $562.34 | $933.25 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $676.08 Median $1,174.90 Typical High $1,698.24 | Facility | None | $676.08 | $1,174.90 | $1,698.24 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $776.25 Typical High $1,258.93 | Professional | None | $79.43 | $776.25 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,801.89 Median $5,248.07 Typical High $6,025.60 | Facility | None | $3,801.89 | $5,248.07 | $6,025.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,023.29 | Professional | None | $645.65 | $954.99 | $1,023.29 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $6,918.31 | Facility | None | $602.56 | $1,000.00 | $6,918.31 |
United Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $1,318.26 | Professional | None | $478.63 | $776.25 | $1,318.26 |
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 $229.09 Median $229.09 Typical High $380.19 | Professional | 52 · Reduced service | $229.09 | $229.09 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $151.36 | Professional | 53 · Discontinued | $93.33 | $93.33 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $562.34 | Professional | 54 · Surgery only | $346.74 | $346.74 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $112.20 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $524.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $380.19 | Professional | 52 · Reduced service | $229.09 | $229.09 | $380.19 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $151.36 | Professional | 53 · Discontinued | $93.33 | $93.33 | $151.36 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $562.34 | Professional | 54 · Surgery only | $346.74 | $346.74 | $562.34 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $112.20 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $112.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $75.86 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $75.86 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $524.81 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,754.40 Median $7,762.47 Typical High $9,120.11 | Facility | 50 · Both sides | $5,754.40 | $7,762.47 | $9,120.11 |
Where Oregon sits
The same service costs 5.1 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· 7th of 51
$776
AK $1,585TX $309
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.