How much rates vary
Facilitymedian $1,288 · 10th to 90th $891 to $13,183Professionalmedian $1,148 · 10th to 90th $589 to $1,778
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 $588.84 Median $912.01 Typical High $1,000.00 | Professional | None | $588.84 | $912.01 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $10,232.93 Typical High $14,125.38 | Facility | None | $1,230.27 | $10,232.93 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,819.70 | Professional | None | $691.83 | $1,071.52 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,348.96 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $1,148.15 Median $7,943.28 Typical High $18,620.87 | Facility | None | $1,148.15 | $7,943.28 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $616.60 Median $977.24 Typical High $1,445.44 | Professional | None | $616.60 | $977.24 | $1,445.44 |
Pacific Source Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $1,318.26 | Facility | None | $741.31 | $1,230.27 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $9,332.54 Typical High $14,125.38 | Facility | None | $1,047.13 | $9,332.54 | $14,125.38 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,174.90 Typical High $1,819.70 | Professional | None | $79.43 | $1,174.90 | $1,819.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,912.51 Median $25,118.86 Typical High $28,183.83 | Facility | None | $8,912.51 | $25,118.86 | $28,183.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,318.26 | $1,698.24 |
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 $758.58 Median $1,174.90 Typical High $1,905.46 | Professional | None | $758.58 | $1,174.90 | $1,905.46 |
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 $371.54 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $371.54 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $147.91 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $549.54 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $74.13 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $512.86 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,489.63 Median $37,153.52 Typical High $42,657.95 | Facility | 50 · Both sides | $13,489.63 | $37,153.52 | $42,657.95 |
Where Oregon sits
The same service costs 5.4 times more in Alaska than in Montana. 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
AK $11,142MT $2,070
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.