How much rates vary
Facilitymedian $912 · 10th to 90th $275 to $1,148Professionalmedian $933 · 10th to 90th $550 to $1,380
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $724.44 | Professional | None | $446.68 | $707.95 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $891.25 | Facility | None | $223.87 | $281.84 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,412.54 | Professional | None | $537.03 | $851.14 | $1,412.54 |
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 $794.33 Median $1,202.26 Typical High $7,943.28 | Facility | None | $794.33 | $1,202.26 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,122.02 | Professional | None | $707.95 | $741.31 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,023.29 | Facility | None | $588.84 | $954.99 | $1,023.29 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $1,380.38 | Facility | None | $229.09 | $602.56 | $1,380.38 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $954.99 Typical High $1,445.44 | Professional | None | $79.43 | $954.99 | $1,445.44 |
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 $977.24 Median $1,023.29 Typical High $1,318.26 | Professional | None | $977.24 | $1,023.29 | $1,318.26 |
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 $588.84 Median $912.01 Typical High $1,479.11 | Professional | None | $588.84 | $912.01 | $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 $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $288.40 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $141.25 Typical High $144.54 | Professional | 53 · Discontinued | $117.49 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $524.81 Typical High $537.03 | Professional | 54 · Surgery only | $436.52 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $104.71 Typical High $107.15 | Professional | 55 · Aftercare only | $87.10 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $70.79 Typical High $72.44 | Professional | 56 · Pre-op care only | $58.88 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $489.78 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $407.38 | $489.78 | $501.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $354.81 | $354.81 | $363.08 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | 53 · Discontinued | $141.25 | $141.25 | $144.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | 54 · Surgery only | $524.81 | $524.81 | $537.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $107.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $72.44 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $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 5.2 times more in Connecticut 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
CT $3,486FL $668
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.