How much rates vary
Facilitymedian $1,202 · 10th to 90th $724 to $10,233Professionalmedian $871 · 10th to 90th $550 to $1,413
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 $691.83 Median $8,912.51 Typical High $18,620.87 | Facility | None | $691.83 | $8,912.51 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $870.96 | Professional | None | $416.87 | $575.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $6,918.31 Typical High $9,549.93 | Facility | None | $1,230.27 | $6,918.31 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,479.11 | Professional | None | $602.56 | $912.01 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $1,047.13 Typical High $1,584.89 | Professional | None | $776.25 | $1,047.13 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $1,258.93 Typical High $13,803.84 | Facility | None | $691.83 | $1,258.93 | $13,803.84 |
Moda Health Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,288.25 | Professional | None | $537.03 | $851.14 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,230.27 | Facility | None | $707.95 | $1,174.90 | $1,230.27 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $5,623.41 Typical High $9,549.93 | Facility | None | $851.14 | $5,623.41 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $912.01 Typical High $1,479.11 | Professional | None | $79.43 | $912.01 | $1,479.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $17,782.79 Median $25,118.86 Typical High $28,183.83 | Facility | None | $17,782.79 | $25,118.86 | $28,183.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,230.27 | Professional | None | $794.33 | $1,148.15 | $1,230.27 |
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 $588.84 Median $954.99 Typical High $1,584.89 | Professional | None | $588.84 | $954.99 | $1,584.89 |
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 $281.84 Median $281.84 Typical High $436.52 | Professional | 52 · Reduced service | $281.84 | $281.84 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $177.83 | Professional | 53 · Discontinued | $112.20 | $112.20 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $660.69 | Professional | 54 · Surgery only | $426.58 | $426.58 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $131.83 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $616.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | 52 · Reduced service | $281.84 | $281.84 | $436.52 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $177.83 | Professional | 53 · Discontinued | $112.20 | $112.20 | $177.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $660.69 | Professional | 54 · Surgery only | $426.58 | $426.58 | $660.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $131.83 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $131.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $87.10 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $398.11 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $398.11 | $398.11 | $616.60 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $26,915.35 Median $37,153.52 Typical High $42,657.95 | Facility | 50 · Both sides | $26,915.35 | $37,153.52 | $42,657.95 |
Where Oregon sits
The same service costs 6.5 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $9,949MT $1,532
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.