How much rates vary
Facilitymedian $1,318 · 10th to 90th $891 to $10,233Professionalmedian $1,230 · 10th to 90th $708 to $1,820
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 $691.83 Median $933.25 Typical High $933.25 | Professional | None | $691.83 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $6,918.31 Typical High $9,549.93 | Facility | None | $1,230.27 | $6,918.31 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,862.09 | Professional | None | $741.31 | $1,148.15 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,445.44 | $1,778.28 |
Moda Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $18,620.87 | Facility | None | $1,096.48 | $1,819.70 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,548.82 | Professional | None | $933.25 | $1,071.52 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,348.96 | Facility | None | $776.25 | $1,258.93 | $1,348.96 |
Providence Setting Facility Modifier None Typical Low $1,096.48 Median $6,309.57 Typical High $9,549.93 | Facility | None | $1,096.48 | $6,309.57 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,230.27 Typical High $1,862.09 | Professional | None | $79.43 | $1,230.27 | $1,862.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,912.51 Median $25,118.86 Typical High $28,183.83 | Facility | None | $8,912.51 | $25,118.86 | $28,183.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,348.96 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $2,041.74 | Professional | None | $831.76 | $1,202.26 | $2,041.74 |
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 $380.19 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $380.19 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $562.34 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $75.86 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $524.81 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $645.65 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,489.63 Median $37,153.52 Typical High $42,657.95 | Facility | 50 · Both sides | $13,489.63 | $37,153.52 | $42,657.95 |
Where Oregon sits
The same service costs 4.8 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $10,454MT $2,169
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.