How much rates vary
Facilitymedian $631 · 10th to 90th $457 to $4,571Professionalmedian $537 · 10th to 90th $363 to $832
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 $5,128.61 Median $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $446.68 | Professional | None | $323.59 | $398.11 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $2,238.72 | Facility | None | $954.99 | $1,659.59 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $851.14 | Professional | None | $338.84 | $512.86 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $812.83 | Professional | None | $537.03 | $660.69 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $776.25 Typical High $13,182.57 | Facility | None | $446.68 | $776.25 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $707.95 | Professional | None | $398.11 | $467.74 | $707.95 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $602.56 Typical High $645.65 | Facility | None | $389.05 | $602.56 | $645.65 |
Providence Setting Facility Modifier None Typical Low $575.44 Median $1,412.54 Typical High $2,238.72 | Facility | None | $575.44 | $1,412.54 | $2,238.72 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $549.54 Typical High $851.14 | Professional | None | $79.43 | $549.54 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $6,456.54 | Facility | None | $4,073.80 | $5,623.41 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $776.25 | Professional | None | $537.03 | $602.56 | $776.25 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,022.64 | Facility | None | $1,230.27 | $1,862.09 | $12,022.64 |
United Setting Professional Modifier None Typical Low $371.54 Median $549.54 Typical High $912.01 | Professional | None | $371.54 | $549.54 | $912.01 |
12 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 $177.83 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $177.83 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $70.79 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $295.12 Typical High $338.84 | Professional | 54 · Surgery only | $269.15 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | 55 · Aftercare only | $53.70 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $35.48 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $275.42 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $251.19 | $275.42 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $199.53 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $79.43 | $89.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | 54 · Surgery only | $295.12 | $295.12 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $44.67 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $316.23 |
Where Oregon sits
The same service costs 6.8 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
$562
AK $1,288UT $191
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.