How much rates vary
Facilitymedian $490 · 10th to 90th $295 to $4,266Professionalmedian $380 · 10th to 90th $229 to $603
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 $229.09 Median $234.42 Typical High $380.19 | Professional | None | $229.09 | $234.42 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $660.69 | Facility | None | $302.00 | $380.19 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $389.05 Typical High $645.65 | Professional | None | $239.88 | $389.05 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $660.69 | Professional | None | $302.00 | $436.52 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $549.54 Typical High $6,606.93 | Facility | None | $331.13 | $549.54 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $229.09 Median $380.19 Typical High $537.03 | Professional | None | $229.09 | $380.19 | $537.03 |
Pacific Source Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $524.81 | Facility | None | $295.12 | $478.63 | $524.81 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $707.95 | Facility | None | $302.00 | $407.38 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $389.05 Typical High $645.65 | Professional | None | $79.43 | $389.05 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $6,456.54 | Facility | None | $4,073.80 | $5,623.41 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $524.81 | Professional | None | $316.23 | $478.63 | $524.81 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,244.36 | Facility | None | $602.56 | $1,000.00 | $7,244.36 |
United Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $676.08 | Professional | None | $245.47 | $398.11 | $676.08 |
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 $114.82 Median $114.82 Typical High $190.55 | Professional | 52 · Reduced service | $114.82 | $114.82 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $75.86 | Professional | 53 · Discontinued | $46.77 | $46.77 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $288.40 | Professional | 54 · Surgery only | $173.78 | $173.78 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $38.02 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $162.18 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $162.18 | $162.18 | $269.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $190.55 | Professional | 52 · Reduced service | $114.82 | $114.82 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $75.86 | Professional | 53 · Discontinued | $46.77 | $46.77 | $75.86 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $173.78 Typical High $288.40 | Professional | 54 · Surgery only | $173.78 | $173.78 | $288.40 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $57.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $38.02 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $38.02 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $162.18 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $162.18 | $162.18 | $269.15 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,165.95 Median $8,511.38 Typical High $9,772.37 | Facility | 50 · Both sides | $6,165.95 | $8,511.38 | $9,772.37 |
Where Oregon sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 6th of 51
$389
AK $692UT $186
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.