How much rates vary
Facilitymedian $1,820 · 10th to 90th $1,148 to $16,596Professionalmedian $1,698 · 10th to 90th $933 to $2,512
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $12,589.25 Typical High $17,378.01 | Facility | None | $1,000.00 | $12,589.25 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,570.40 | Professional | None | $954.99 | $1,513.56 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,584.89 | $1,862.09 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $17,378.01 | Facility | None | $1,288.25 | $2,511.89 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,412.54 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $1,862.09 | Facility | None | $1,096.48 | $1,737.80 | $1,862.09 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $11,481.54 Typical High $17,378.01 | Facility | None | $1,047.13 | $11,481.54 | $17,378.01 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,698.24 Typical High $2,570.40 | Professional | None | $79.43 | $1,698.24 | $2,570.40 |
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 $1,778.28 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,862.09 | $2,454.71 |
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 $1,230.27 Median $1,659.59 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,659.59 | $2,691.53 |
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 $524.81 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $524.81 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $208.93 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $794.33 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $158.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $104.71 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $741.31 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $891.25 |
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 7.9 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· 8th of 51
$1,778
AK $3,715TX $468
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.