How much rates vary
Facilitymedian $851 · 10th to 90th $501 to $4,074Professionalmedian $631 · 10th to 90th $398 to $1,000
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 $371.54 Median $436.52 Typical High $630.96 | Professional | None | $371.54 | $436.52 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $891.25 | Facility | None | $446.68 | $562.34 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $1,071.52 | Professional | None | $426.58 | $645.65 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,096.48 | Professional | None | $549.54 | $741.31 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $7,943.28 | Facility | None | $575.44 | $891.25 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $891.25 | Professional | None | $398.11 | $602.56 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $870.96 | Facility | None | $501.19 | $831.76 | $870.96 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $1,071.52 | Facility | None | $446.68 | $602.56 | $1,071.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $1,071.52 | Professional | None | $79.43 | $645.65 | $1,071.52 |
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 $549.54 Median $812.83 Typical High $870.96 | Professional | None | $549.54 | $812.83 | $870.96 |
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 $416.87 Median $676.08 Typical High $1,122.02 | Professional | None | $416.87 | $676.08 | $1,122.02 |
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 $199.53 Median $199.53 Typical High $316.23 | Professional | 52 · Reduced service | $199.53 | $199.53 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $128.82 | Professional | 53 · Discontinued | $81.28 | $81.28 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $478.63 | Professional | 54 · Surgery only | $302.00 | $302.00 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $95.50 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $63.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $446.68 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $316.23 | Professional | 52 · Reduced service | $199.53 | $199.53 | $316.23 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $128.82 | Professional | 53 · Discontinued | $81.28 | $81.28 | $128.82 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $478.63 | Professional | 54 · Surgery only | $302.00 | $302.00 | $478.63 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $95.50 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $95.50 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $63.10 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $446.68 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,025.60 Median $8,317.64 Typical High $9,549.93 | Facility | 50 · Both sides | $6,025.60 | $8,317.64 | $9,549.93 |
Where Oregon sits
The same service costs 4.7 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· 8th of 51
$646
AK $1,175UT $251
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.