How much rates vary
Facilitymedian $575 · 10th to 90th $263 to $832Professionalmedian $562 · 10th to 90th $339 to $851
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $416.87 Typical High $436.52 | Professional | None | $257.04 | $416.87 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $660.69 | Facility | None | $223.87 | $281.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $851.14 | Professional | None | $338.84 | $512.86 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $851.14 | Professional | None | $562.34 | $707.95 | $851.14 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $6,606.93 | Facility | None | $457.09 | $741.31 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $691.83 | Professional | None | $407.38 | $446.68 | $691.83 |
Pacific Source Setting Facility Modifier None Typical Low $346.74 Median $588.84 Typical High $616.60 | Facility | None | $346.74 | $588.84 | $616.60 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $436.52 Typical High $794.33 | Facility | None | $229.09 | $436.52 | $794.33 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $575.44 Typical High $891.25 | Professional | None | $79.43 | $575.44 | $891.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $954.99 | Facility | None | $645.65 | $812.83 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $794.33 | Professional | None | $575.44 | $616.60 | $794.33 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $346.74 Median $537.03 Typical High $912.01 | Professional | None | $346.74 | $537.03 | $912.01 |
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 $177.83 Median $208.93 Typical High $218.78 | Professional | 52 · Reduced service | $177.83 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $83.18 Typical High $87.10 | Professional | 53 · Discontinued | $70.79 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $316.23 Typical High $331.13 | Professional | 54 · Surgery only | $269.15 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $63.10 Typical High $66.07 | Professional | 55 · Aftercare only | $53.70 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $41.69 Typical High $43.65 | Professional | 56 · Pre-op care only | $35.48 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $295.12 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $251.19 | $295.12 | $309.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | 52 · Reduced service | $208.93 | $208.93 | $218.78 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | 53 · Discontinued | $83.18 | $83.18 | $87.10 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | 54 · Surgery only | $316.23 | $316.23 | $331.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $66.07 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $66.07 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $43.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $309.03 |
Where Oregon sits
The same service costs 5.5 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
$562
AK $1,230TX $224
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.