How much rates vary
Facilitymedian $200 · 10th to 90th $117 to $708Professionalmedian $162 · 10th to 90th $107 to $263
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 $141.25 Median $186.21 Typical High $7,943.28 | Facility | None | $141.25 | $186.21 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $158.49 | Professional | None | $87.10 | $117.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $660.69 | Facility | None | $100.00 | $125.89 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $275.42 | Professional | None | $112.20 | $154.88 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $263.03 | Professional | None | $144.54 | $194.98 | $263.03 |
Moda Health Setting Facility Modifier None Typical Low $141.25 Median $257.04 Typical High $977.24 | Facility | None | $141.25 | $257.04 | $977.24 |
Moda Health Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $251.19 | Professional | None | $109.65 | $151.36 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $257.04 | Facility | None | $125.89 | $194.98 | $257.04 |
Providence Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $707.95 | Facility | None | $104.71 | $151.36 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $173.78 Typical High $275.42 | Professional | None | $79.43 | $173.78 | $275.42 |
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 $154.88 Median $199.53 Typical High $223.87 | Professional | None | $154.88 | $199.53 | $223.87 |
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 $114.82 Median $169.82 Typical High $281.84 | Professional | None | $114.82 | $169.82 | $281.84 |
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 $56.23 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $56.23 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $22.91 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | 54 · Surgery only | $85.11 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $15.14 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $15.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | 78 · Unplanned return to OR | $79.43 | $79.43 | $104.71 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $56.23 | $56.23 | $74.13 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $22.91 | $30.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | 54 · Surgery only | $85.11 | $85.11 | $112.20 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | 55 · Aftercare only | $16.98 | $16.98 | $22.39 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $15.14 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $15.14 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | 78 · Unplanned return to OR | $79.43 | $79.43 | $104.71 |
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 3.9 times more in Alaska than in Florida. 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· 8th of 51
$174
AK $324FL $83.18
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.