How much rates vary
Facilitymedian $617 · 10th to 90th $275 to $813Professionalmedian $589 · 10th to 90th $347 to $891
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 $275.42 Median $436.52 Typical High $537.03 | Professional | None | $275.42 | $436.52 | $537.03 |
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 $363.08 Median $549.54 Typical High $912.01 | Professional | None | $363.08 | $549.54 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $933.25 | Professional | None | $616.60 | $776.25 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $776.25 Typical High $6,606.93 | Facility | None | $478.63 | $776.25 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $741.31 | Professional | None | $346.74 | $489.78 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $676.08 | Facility | None | $371.54 | $616.60 | $676.08 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $436.52 Typical High $812.83 | Facility | None | $229.09 | $436.52 | $812.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $588.84 Typical High $912.01 | Professional | None | $79.43 | $588.84 | $912.01 |
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 $602.56 Median $645.65 Typical High $831.76 | Professional | None | $602.56 | $645.65 | $831.76 |
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 $363.08 Median $562.34 Typical High $977.24 | Professional | None | $363.08 | $562.34 | $977.24 |
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 $190.55 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $190.55 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $87.10 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $323.59 Typical High $354.81 | Professional | 54 · Surgery only | $281.84 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $64.57 Typical High $70.79 | Professional | 55 · Aftercare only | $56.23 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $43.65 Typical High $46.77 | Professional | 56 · Pre-op care only | $38.02 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $302.00 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $263.03 | $302.00 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $213.80 | $213.80 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 53 · Discontinued | $87.10 | $87.10 | $93.33 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 54 · Surgery only | $323.59 | $323.59 | $354.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $70.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $46.77 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $302.00 | $302.00 | $331.13 |
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 5.8 times more in Alaska than in Utah. 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
$589
AK $1,259UT $219
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.