How much rates vary
Facilitymedian $1,318 · 10th to 90th $724 to $6,918Professionalmedian $1,072 · 10th to 90th $603 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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,148.15 | Professional | None | $691.83 | $691.83 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $5,623.41 Typical High $7,762.47 | Facility | None | $891.25 | $5,623.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,905.46 | Professional | None | $691.83 | $1,096.48 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $1,949.84 | Professional | None | $954.99 | $1,318.26 | $1,949.84 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $1,412.54 Typical High $7,943.28 | Facility | None | $724.44 | $1,412.54 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,479.11 | Professional | None | $645.65 | $954.99 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,479.11 | Facility | None | $776.25 | $1,174.90 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $3,388.44 Typical High $7,413.10 | Facility | None | $741.31 | $3,388.44 | $7,413.10 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,023.29 Typical High $1,819.70 | Professional | None | $79.43 | $1,023.29 | $1,819.70 |
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 $870.96 Median $1,348.96 Typical High $1,479.11 | Professional | None | $870.96 | $1,348.96 | $1,479.11 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,047.13 Typical High $1,949.84 | Professional | None | $616.60 | $1,047.13 | $1,949.84 |
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 $346.74 Median $346.74 Typical High $575.44 | Professional | 52 · Reduced service | $346.74 | $346.74 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | 53 · Discontinued | $138.04 | $138.04 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $851.14 | Professional | 54 · Surgery only | $512.86 | $512.86 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $114.82 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $794.33 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $575.44 | Professional | 52 · Reduced service | $346.74 | $346.74 | $575.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | 53 · Discontinued | $138.04 | $138.04 | $229.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $851.14 | Professional | 54 · Surgery only | $512.86 | $512.86 | $851.14 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $114.82 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $114.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $794.33 |
Where Oregon sits
The same service costs 5.9 times more in Alaska than in Kentucky. 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
$1,096
AK $2,138KY $363
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.