How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,445 to $26,915Professionalmedian $2,291 · 10th to 90th $1,230 to $3,388
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 $1,584.89 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,584.89 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $25,118.86 Typical High $34,673.69 | Facility | None | $1,230.27 | $25,118.86 | $34,673.69 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,288.25 | $2,041.74 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,454.71 | $3,019.95 |
Moda Health Setting Facility Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $18,620.87 | Facility | None | $2,238.72 | $3,388.44 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,737.80 | $1,949.84 | $2,884.03 |
Pacific Source Setting Facility Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $2,511.89 | Facility | None | $1,445.44 | $2,398.83 | $2,511.89 |
Providence Setting Facility Modifier None Typical Low $1,288.25 Median $22,908.68 Typical High $32,359.37 | Facility | None | $1,288.25 | $22,908.68 | $32,359.37 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,290.87 Typical High $3,388.44 | Professional | None | $79.43 | $2,290.87 | $3,388.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $47,863.01 Median $67,608.30 Typical High $91,201.08 | Facility | None | $47,863.01 | $67,608.30 | $91,201.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $3,235.94 | Professional | None | $2,398.83 | $2,511.89 | $3,235.94 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,584.89 | $2,238.72 | $3,630.78 |
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 $707.95 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $707.95 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $281.84 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,071.52 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $213.80 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $141.25 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,202.26 | $1,202.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $870.96 | $870.96 | $870.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,288.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,202.26 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $70,794.58 Median $102,329.30 Typical High $134,896.29 | Facility | 50 · Both sides | $70,794.58 | $102,329.30 | $134,896.29 |
Where Oregon sits
The same service costs 8.4 times more in Alaska than in Hawaii. 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 $28,454HI $3,369
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.