How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,202 to $12,882Professionalmedian $1,905 · 10th to 90th $1,047 to $2,818
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 $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $9,772.37 Typical High $13,489.63 | Facility | None | $1,412.54 | $9,772.37 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,698.24 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,819.70 | $2,089.30 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $24,547.09 | Facility | None | $1,445.44 | $2,818.38 | $24,547.09 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,445.44 | $1,584.89 | $2,344.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $2,089.30 | Facility | None | $1,202.26 | $1,949.84 | $2,089.30 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $8,912.51 Typical High $13,489.63 | Facility | None | $1,412.54 | $8,912.51 | $13,489.63 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,905.46 Typical High $2,884.03 | Professional | None | $79.43 | $1,905.46 | $2,884.03 |
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 $1,995.26 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,995.26 | $2,089.30 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,862.09 | $3,090.30 |
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 $588.84 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $588.84 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $234.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $891.25 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $177.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $831.76 | $1,023.29 | $1,023.29 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $724.44 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $288.40 | $288.40 | $288.40 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,096.48 | $1,096.48 | $1,096.48 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,023.29 | $1,023.29 |
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 7.9 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· 9th of 51
$1,950
AK $4,266TX $537
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.