How much rates vary
Facilitymedian $871 · 10th to 90th $275 to $1,096Professionalmedian $871 · 10th to 90th $550 to $1,318
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 $588.84 Median $645.65 Typical High $691.83 | Professional | None | $588.84 | $645.65 | $691.83 |
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 $537.03 Median $812.83 Typical High $1,318.26 | Professional | None | $537.03 | $812.83 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,348.96 | Professional | None | $891.25 | $1,122.02 | $1,348.96 |
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 $645.65 Median $724.44 Typical High $1,096.48 | Professional | None | $645.65 | $724.44 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,000.00 | Facility | None | $549.54 | $912.01 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $1,202.26 | Facility | None | $229.09 | $446.68 | $1,202.26 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $870.96 Typical High $1,348.96 | Professional | None | $79.43 | $870.96 | $1,348.96 |
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 $891.25 Median $954.99 Typical High $1,230.27 | Professional | None | $891.25 | $954.99 | $1,230.27 |
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 $549.54 Median $851.14 Typical High $1,445.44 | Professional | None | $549.54 | $851.14 | $1,445.44 |
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 $281.84 Median $323.59 Typical High $346.74 | Professional | 52 · Reduced service | $281.84 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $128.82 Typical High $138.04 | Professional | 53 · Discontinued | $112.20 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $478.63 Typical High $524.81 | Professional | 54 · Surgery only | $416.87 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $95.50 Typical High $104.71 | Professional | 55 · Aftercare only | $83.18 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $64.57 Typical High $69.18 | Professional | 56 · Pre-op care only | $56.23 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $446.68 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $389.05 | $446.68 | $489.78 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $323.59 Typical High $346.74 | Professional | 52 · Reduced service | $323.59 | $323.59 | $346.74 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | 53 · Discontinued | $128.82 | $128.82 | $138.04 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 54 · Surgery only | $478.63 | $478.63 | $524.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $104.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $69.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $489.78 |
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 4.9 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 $3,107FL $640
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.