How much rates vary
Facilitymedian $708 · 10th to 90th $263 to $933Professionalmedian $708 · 10th to 90th $447 to $1,096
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 $467.74 Median $524.81 Typical High $575.44 | Professional | None | $467.74 | $524.81 | $575.44 |
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 $446.68 Median $645.65 Typical High $1,096.48 | Professional | None | $446.68 | $645.65 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,122.02 | Professional | None | $741.31 | $912.01 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $575.44 Median $831.76 Typical High $6,606.93 | Facility | None | $575.44 | $831.76 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $891.25 | Professional | None | $524.81 | $575.44 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $707.95 Typical High $812.83 | Facility | None | $446.68 | $707.95 | $812.83 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $977.24 | Facility | None | $229.09 | $446.68 | $977.24 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $707.95 Typical High $1,096.48 | Professional | None | $79.43 | $707.95 | $1,096.48 |
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 $724.44 Median $794.33 Typical High $1,023.29 | Professional | None | $724.44 | $794.33 | $1,023.29 |
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 $446.68 Median $676.08 Typical High $1,148.15 | Professional | None | $446.68 | $676.08 | $1,148.15 |
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 $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $229.09 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $104.71 Typical High $114.82 | Professional | 53 · Discontinued | $91.20 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $389.05 Typical High $426.58 | Professional | 54 · Surgery only | $346.74 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $77.62 Typical High $85.11 | Professional | 55 · Aftercare only | $69.18 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $52.48 Typical High $57.54 | Professional | 56 · Pre-op care only | $45.71 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $363.08 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $323.59 | $363.08 | $398.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $257.04 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | 53 · Discontinued | $104.71 | $104.71 | $114.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | 54 · Surgery only | $389.05 | $389.05 | $426.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $85.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $57.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $398.11 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $954.99 Median $1,230.27 Typical High $1,445.44 | Facility | 50 · Both sides | $954.99 | $1,230.27 | $1,445.44 |
Where Oregon sits
The same service costs 5.2 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
$708
AK $1,514TX $288
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.