How much rates vary
Facilitymedian $631 · 10th to 90th $269 to $851Professionalmedian $603 · 10th to 90th $355 to $912
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 $281.84 Median $446.68 Typical High $478.63 | Professional | None | $281.84 | $446.68 | $478.63 |
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 $371.54 Median $562.34 Typical High $933.25 | Professional | None | $371.54 | $562.34 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $954.99 | Professional | None | $630.96 | $794.33 | $954.99 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $6,606.93 | Facility | None | $489.78 | $794.33 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $758.58 | Professional | None | $338.84 | $478.63 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $691.83 | Facility | None | $380.19 | $630.96 | $691.83 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $831.76 | Facility | None | $229.09 | $446.68 | $831.76 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $933.25 | Professional | None | $79.43 | $602.56 | $933.25 |
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 $616.60 Median $660.69 Typical High $851.14 | Professional | None | $616.60 | $660.69 | $851.14 |
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 $380.19 Median $575.44 Typical High $1,000.00 | Professional | None | $380.19 | $575.44 | $1,000.00 |
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 $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $331.13 Typical High $363.08 | Professional | 54 · Surgery only | $288.40 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $66.07 Typical High $72.44 | Professional | 55 · Aftercare only | $57.54 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $44.67 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.90 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $309.03 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $269.15 | $309.03 | $338.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $218.78 | $218.78 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | 53 · Discontinued | $89.13 | $89.13 | $95.50 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | 54 · Surgery only | $331.13 | $331.13 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $72.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $47.86 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $338.84 |
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 5.9 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
$603
AK $1,288UT $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.