How much rates vary
Facilitymedian $871 · 10th to 90th $269 to $1,122Professionalmedian $891 · 10th to 90th $550 to $1,349
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $707.95 | Professional | None | $478.63 | $660.69 | $707.95 |
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 $549.54 Median $831.76 Typical High $1,348.96 | Professional | None | $549.54 | $831.76 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,380.38 | Professional | None | $912.01 | $1,148.15 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $707.95 Median $1,071.52 Typical High $6,606.93 | Facility | None | $707.95 | $1,071.52 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,096.48 | Professional | None | $660.69 | $741.31 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,023.29 | Facility | None | $562.34 | $933.25 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $1,230.27 | Facility | None | $229.09 | $446.68 | $1,230.27 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $891.25 Typical High $1,380.38 | Professional | None | $79.43 | $891.25 | $1,380.38 |
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 $912.01 Median $977.24 Typical High $1,258.93 | Professional | None | $912.01 | $977.24 | $1,258.93 |
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 $562.34 Median $851.14 Typical High $1,479.11 | Professional | None | $562.34 | $851.14 | $1,479.11 |
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 $288.40 Median $323.59 Typical High $354.81 | Professional | 52 · Reduced service | $288.40 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $114.82 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $426.58 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $97.72 Typical High $107.15 | Professional | 55 · Aftercare only | $85.11 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $57.54 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $457.09 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $398.11 | $457.09 | $501.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 52 · Reduced service | $323.59 | $323.59 | $354.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $131.83 | $131.83 | $141.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $489.78 | $489.78 | $537.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $107.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $70.79 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $501.19 |
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 4.7 times more in New York 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.
Physician feeFacility fee
NY $3,038FL $649
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.