How much rates vary
Facilitymedian $724 · 10th to 90th $468 to $5,623Professionalmedian $550 · 10th to 90th $331 to $871
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 $331.13 Median $338.84 Typical High $549.54 | Professional | None | $331.13 | $338.84 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,090.30 Typical High $4,168.69 | Facility | None | $891.25 | $3,090.30 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $891.25 | Professional | None | $354.81 | $549.54 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $912.01 | Professional | None | $446.68 | $616.60 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $7,943.28 | Facility | None | $478.63 | $794.33 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $331.13 Median $549.54 Typical High $758.58 | Professional | None | $331.13 | $549.54 | $758.58 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $741.31 | Facility | None | $436.52 | $707.95 | $741.31 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $2,511.89 Typical High $4,168.69 | Facility | None | $549.54 | $2,511.89 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $549.54 Typical High $891.25 | Professional | None | $79.43 | $549.54 | $891.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,128.31 Median $11,220.18 Typical High $12,882.50 | Facility | None | $8,128.31 | $11,220.18 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $741.31 | Professional | None | $446.68 | $676.08 | $741.31 |
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 $354.81 Median $575.44 Typical High $954.99 | Professional | None | $354.81 | $575.44 | $954.99 |
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 $165.96 Median $165.96 Typical High $269.15 | Professional | 52 · Reduced service | $165.96 | $165.96 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $109.65 | Professional | 53 · Discontinued | $66.07 | $66.07 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $407.38 | Professional | 54 · Surgery only | $251.19 | $251.19 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $81.28 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $380.19 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $269.15 | Professional | 52 · Reduced service | $165.96 | $165.96 | $269.15 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $109.65 | Professional | 53 · Discontinued | $66.07 | $66.07 | $109.65 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $407.38 | Professional | 54 · Surgery only | $251.19 | $251.19 | $407.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $81.28 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $81.28 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $54.95 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $234.42 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $234.42 | $234.42 | $380.19 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $12,302.69 Median $16,982.44 Typical High $19,498.45 | Facility | 50 · Both sides | $12,302.69 | $16,982.44 | $19,498.45 |
Where Oregon sits
The same service costs 5.5 times more in Alaska than in Texas. 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· 7th of 51
$589
AK $1,202TX $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.