How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,000 to $11,749Professionalmedian $1,514 · 10th to 90th $851 to $2,291
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 $10,715.19 Typical High $18,620.87 | Facility | None | $5,128.61 | $10,715.19 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,071.52 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $6,918.31 Typical High $9,549.93 | Facility | None | $1,230.27 | $6,918.31 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,344.23 | Professional | None | $891.25 | $1,380.38 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,479.11 | $1,737.80 | $2,089.30 |
Moda Health Setting Facility Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $18,620.87 | Facility | None | $1,288.25 | $2,290.87 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,288.25 | $1,995.26 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $1,698.24 | Facility | None | $954.99 | $1,548.82 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $1,230.27 Median $6,309.57 Typical High $9,549.93 | Facility | None | $1,230.27 | $6,309.57 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,513.56 Typical High $2,344.23 | Professional | None | $79.43 | $1,513.56 | $2,344.23 |
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 $1,621.81 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,621.81 | $1,698.24 | $2,187.76 |
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 $954.99 Median $1,513.56 Typical High $2,454.71 | Professional | None | $954.99 | $1,513.56 | $2,454.71 |
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 $478.63 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $478.63 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $724.44 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $144.54 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $676.08 | $812.83 | $812.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $812.83 |
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 7.6 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· 10th of 51
$1,585
AK $3,388TX $447
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.