How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,479 to $13,183Professionalmedian $2,455 · 10th to 90th $1,230 to $3,631
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,698.24 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $9,120.11 Typical High $12,589.25 | Facility | None | $1,000.00 | $9,120.11 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $3,715.35 | Professional | None | $1,412.54 | $2,187.76 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,311.31 | Professional | None | $2,290.87 | $2,691.53 | $3,311.31 |
Moda Health Setting Facility Modifier None Typical Low $1,862.09 Median $3,715.35 Typical High $17,378.01 | Facility | None | $1,862.09 | $3,715.35 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,230.27 | $1,995.26 | $3,162.28 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $2,691.53 | Facility | None | $1,288.25 | $2,570.40 | $2,691.53 |
Providence Setting Facility Modifier None Typical Low $1,071.52 Median $8,511.38 Typical High $12,589.25 | Facility | None | $1,071.52 | $8,511.38 | $12,589.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,398.83 Typical High $3,715.35 | Professional | None | $79.43 | $2,398.83 | $3,715.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $17,782.79 Median $25,118.86 Typical High $28,183.83 | Facility | None | $17,782.79 | $25,118.86 | $28,183.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $3,548.13 | Professional | None | $2,570.40 | $2,691.53 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,398.83 Typical High $3,981.07 | Professional | None | $1,548.82 | $2,398.83 | $3,981.07 |
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 $758.58 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $758.58 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $309.03 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,148.15 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $229.09 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $154.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,318.26 | $1,318.26 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,412.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,318.26 | $1,318.26 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $26,915.35 Median $37,153.52 Typical High $42,657.95 | Facility | 50 · Both sides | $26,915.35 | $37,153.52 | $42,657.95 |
Where Oregon sits
The same service costs 8.9 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· 7th of 51
$2,570
AK $5,495TX $617
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.