How much rates vary
Facilitymedian $1,514 · 10th to 90th $933 to $8,913Professionalmedian $1,259 · 10th to 90th $851 to $1,950
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 $10,715.19 Typical High $18,620.87 | Facility | None | $5,128.61 | $10,715.19 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,174.90 | Professional | None | $870.96 | $933.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $5,623.41 Typical High $7,762.47 | Facility | None | $1,230.27 | $5,623.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $2,089.30 | Professional | None | $831.76 | $1,148.15 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,445.44 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $13,803.84 | Facility | None | $1,174.90 | $1,659.59 | $13,803.84 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,659.59 | Professional | None | $933.25 | $1,174.90 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $891.25 Median $1,479.11 Typical High $1,548.82 | Facility | None | $891.25 | $1,479.11 | $1,548.82 |
Providence Setting Facility Modifier None Typical Low $1,122.02 Median $4,570.88 Typical High $7,762.47 | Facility | None | $1,122.02 | $4,570.88 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,288.25 Typical High $1,995.26 | Professional | None | $79.43 | $1,288.25 | $1,995.26 |
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 $1,202.26 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,202.26 | $1,479.11 | $1,778.28 |
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 $891.25 Median $1,288.25 Typical High $2,089.30 | Professional | None | $891.25 | $1,288.25 | $2,089.30 |
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 $426.58 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $426.58 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $173.78 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $870.96 | Professional | 54 · Surgery only | $645.65 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $87.10 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $467.74 | $467.74 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $186.21 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | 54 · Surgery only | $707.95 | $707.95 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $812.83 |
Where Oregon sits
The same service costs 6.6 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
$1,288
AK $3,020TX $457
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.