How much rates vary
Facilitymedian $708 · 10th to 90th $275 to $912Professionalmedian $676 · 10th to 90th $417 to $1,047
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 $851.14 Median $4,677.35 Typical High $7,943.28 | Facility | None | $851.14 | $4,677.35 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $676.08 | Professional | None | $346.74 | $501.19 | $676.08 |
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 $426.58 Median $645.65 Typical High $1,071.52 | Professional | None | $426.58 | $645.65 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,096.48 | Professional | None | $724.44 | $912.01 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $851.14 Typical High $6,606.93 | Facility | None | $489.78 | $851.14 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $851.14 | Professional | None | $416.87 | $549.54 | $851.14 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $794.33 | Facility | None | $436.52 | $724.44 | $794.33 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $954.99 | Facility | None | $229.09 | $446.68 | $954.99 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $691.83 Typical High $1,071.52 | Professional | None | $79.43 | $691.83 | $1,071.52 |
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 $707.95 Median $758.58 Typical High $977.24 | Professional | None | $707.95 | $758.58 | $977.24 |
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 $436.52 Median $660.69 Typical High $1,148.15 | Professional | None | $436.52 | $660.69 | $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 $223.87 Median $251.19 Typical High $275.42 | Professional | 52 · Reduced service | $223.87 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $89.13 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $380.19 Typical High $416.87 | Professional | 54 · Surgery only | $331.13 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $75.86 Typical High $83.18 | Professional | 55 · Aftercare only | $66.07 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $50.12 Typical High $54.95 | Professional | 56 · Pre-op care only | $44.67 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $354.81 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $309.03 | $354.81 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | 52 · Reduced service | $251.19 | $251.19 | $275.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $100.00 | $100.00 | $109.65 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 54 · Surgery only | $380.19 | $380.19 | $416.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $83.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $54.95 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $389.05 |
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 5.1 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· 9th of 51
$676
AK $1,479UT $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.