How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,259 to $16,596Professionalmedian $1,820 · 10th to 90th $1,023 to $2,754
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 $11,748.98 Typical High $24,547.09 | Facility | None | $5,128.61 | $11,748.98 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $12,589.25 Typical High $17,378.01 | Facility | None | $1,412.54 | $12,589.25 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,047.13 | $1,659.59 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,737.80 | $2,041.74 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,754.23 Typical High $24,547.09 | Facility | None | $1,548.82 | $2,754.23 | $24,547.09 |
Moda Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,412.54 | $1,548.82 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $2,041.74 | Facility | None | $1,174.90 | $1,905.46 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $11,748.98 Typical High $17,378.01 | Facility | None | $1,412.54 | $11,748.98 | $17,378.01 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,862.09 Typical High $2,754.23 | Professional | None | $79.43 | $1,862.09 | $2,754.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $33,884.42 Median $44,668.36 Typical High $56,234.13 | Facility | None | $33,884.42 | $44,668.36 | $56,234.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,630.27 | Professional | None | $1,949.84 | $2,041.74 | $2,630.27 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,174.90 | $1,819.70 | $2,951.21 |
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 $575.44 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $575.44 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $229.09 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $851.14 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $173.78 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $114.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $794.33 | $977.24 | $977.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $51,286.14 Median $67,608.30 Typical High $85,113.80 | Facility | 50 · Both sides | $51,286.14 | $67,608.30 | $85,113.80 |
Where Oregon sits
The same service costs 8.5 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· 9th of 51
$1,905
AK $4,074TX $479
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.