How much rates vary
Facilitymedian $589 · 10th to 90th $263 to $832Professionalmedian $562 · 10th to 90th $331 to $851
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 $269.15 Median $416.87 Typical High $512.86 | Professional | None | $269.15 | $416.87 | $512.86 |
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 $346.74 Median $537.03 Typical High $870.96 | Professional | None | $346.74 | $537.03 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $891.25 | Professional | None | $588.84 | $724.44 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $758.58 Typical High $6,606.93 | Facility | None | $457.09 | $758.58 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $724.44 | Professional | None | $302.00 | $457.09 | $724.44 |
Pacific Source Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $645.65 | Facility | None | $363.08 | $602.56 | $645.65 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $436.52 Typical High $794.33 | Facility | None | $229.09 | $436.52 | $794.33 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $562.34 Typical High $870.96 | Professional | None | $79.43 | $562.34 | $870.96 |
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 $575.44 Median $630.96 Typical High $812.83 | Professional | None | $575.44 | $630.96 | $812.83 |
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 $354.81 Median $549.54 Typical High $933.25 | Professional | None | $354.81 | $549.54 | $933.25 |
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 $181.97 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $181.97 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $72.44 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $309.03 Typical High $338.84 | Professional | 54 · Surgery only | $275.42 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $61.66 Typical High $67.61 | Professional | 55 · Aftercare only | $54.95 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $36.31 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $288.40 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $257.04 | $288.40 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $208.93 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $83.18 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $338.84 | Professional | 54 · Surgery only | $309.03 | $309.03 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $45.71 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $316.23 |
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 5.5 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
$562
AK $1,202UT $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.