How much rates vary
Facilitymedian $1,122 · 10th to 90th $692 to $5,129Professionalmedian $871 · 10th to 90th $575 to $1,413
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 $575.44 Median $575.44 Typical High $851.14 | Professional | None | $575.44 | $575.44 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $3,162.28 | Facility | None | $891.25 | $2,344.23 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $1,445.44 | Professional | None | $602.56 | $870.96 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,548.82 | Professional | None | $794.33 | $1,071.52 | $1,548.82 |
Moda Health Setting Facility Modifier None Typical Low $812.83 Median $1,174.90 Typical High $7,943.28 | Facility | None | $812.83 | $1,174.90 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,230.27 | Professional | None | $575.44 | $851.14 | $1,230.27 |
Pacific Source Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,174.90 | Facility | None | $676.08 | $1,096.48 | $1,174.90 |
Providence Setting Facility Modifier None Typical Low $812.83 Median $1,905.46 Typical High $3,162.28 | Facility | None | $812.83 | $1,905.46 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $891.25 Typical High $1,445.44 | Professional | None | $79.43 | $891.25 | $1,445.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $9,772.37 Typical High $11,220.18 | Facility | None | $6,918.31 | $9,772.37 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,230.27 | Professional | None | $812.83 | $1,122.02 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,548.82 | Professional | None | $602.56 | $933.25 | $1,548.82 |
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 $288.40 Typical High $426.58 | Professional | 52 · Reduced service | $288.40 | $288.40 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $630.96 | Professional | 54 · Surgery only | $436.52 | $436.52 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $128.82 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $588.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $288.40 Typical High $426.58 | Professional | 52 · Reduced service | $288.40 | $288.40 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $169.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $630.96 | Professional | 54 · Surgery only | $436.52 | $436.52 | $630.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $128.82 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $128.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $85.11 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $85.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $588.84 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,471.29 Median $14,791.08 Typical High $16,982.44 | Facility | 50 · Both sides | $10,471.29 | $14,791.08 | $16,982.44 |
Where Oregon sits
The same service costs 4.4 times more in Colorado 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
CO $6,491MT $1,489
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.