How much rates vary
Facilitymedian $3,467 · 10th to 90th $2,089 to $28,840Professionalmedian $3,311 · 10th to 90th $1,820 to $4,786
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 $13,489.63 Typical High $33,884.42 | Facility | None | $5,128.61 | $13,489.63 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $22,387.21 Typical High $30,902.95 | Facility | None | $870.96 | $22,387.21 | $30,902.95 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,819.70 | $2,884.03 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $4,168.69 | Professional | None | $2,951.21 | $3,467.37 | $4,168.69 |
Moda Health Setting Facility Modifier None Typical Low $2,691.53 Median $7,943.28 Typical High $33,884.42 | Facility | None | $2,691.53 | $7,943.28 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $4,168.69 | Professional | None | $2,454.71 | $2,570.40 | $4,168.69 |
Pacific Source Setting Facility Modifier None Typical Low $2,089.30 Median $3,467.37 Typical High $3,548.13 | Facility | None | $2,089.30 | $3,467.37 | $3,548.13 |
Providence Setting Facility Modifier None Typical Low $1,000.00 Median $20,892.96 Typical High $28,840.32 | Facility | None | $1,000.00 | $20,892.96 | $28,840.32 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,311.31 Typical High $5,011.87 | Professional | None | $79.43 | $3,311.31 | $5,011.87 |
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 $3,388.44 Median $3,548.13 Typical High $4,677.35 | Professional | None | $3,388.44 | $3,548.13 | $4,677.35 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $7,244.36 Typical High $50,118.72 | Facility | None | $2,951.21 | $7,244.36 | $50,118.72 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,235.94 Typical High $5,370.32 | Professional | None | $2,344.23 | $3,235.94 | $5,370.32 |
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 $1,000.00 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,000.00 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $407.38 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,513.56 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $302.00 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $204.17 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,737.80 | $1,737.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,230.27 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,862.09 | $1,862.09 | $1,862.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $371.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $245.47 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,737.80 | $1,737.80 |
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 7.8 times more in Alaska than in Kentucky. 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 $31,233KY $3,989
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.