How much rates vary
Facilitymedian $1,288 · 10th to 90th $871 to $8,128Professionalmedian $977 · 10th to 90th $692 to $1,585
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 $10,715.19 Typical High $18,620.87 | Facility | None | $5,128.61 | $10,715.19 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $3,090.30 Typical High $4,168.69 | Facility | None | $1,230.27 | $3,090.30 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,659.59 | Professional | None | $676.08 | $977.24 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,621.81 | Professional | None | $891.25 | $1,230.27 | $1,621.81 |
Moda Health Setting Facility Modifier None Typical Low $954.99 Median $1,380.38 Typical High $13,803.84 | Facility | None | $954.99 | $1,380.38 | $13,803.84 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,412.54 | Professional | None | $691.83 | $954.99 | $1,412.54 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,318.26 | Facility | None | $776.25 | $1,258.93 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $2,511.89 Typical High $4,168.69 | Facility | None | $977.24 | $2,511.89 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,047.13 Typical High $1,659.59 | Professional | None | $79.43 | $1,047.13 | $1,659.59 |
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 $933.25 Median $1,258.93 Typical High $1,380.38 | Professional | None | $933.25 | $1,258.93 | $1,380.38 |
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 $724.44 Median $1,071.52 Typical High $1,778.28 | Professional | None | $724.44 | $1,071.52 | $1,778.28 |
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 $346.74 Median $346.74 Typical High $478.63 | Professional | 52 · Reduced service | $346.74 | $346.74 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | 53 · Discontinued | $138.04 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $724.44 | Professional | 54 · Surgery only | $512.86 | $512.86 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $676.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | 52 · Reduced service | $346.74 | $346.74 | $478.63 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | 53 · Discontinued | $138.04 | $138.04 | $190.55 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $724.44 | Professional | 54 · Surgery only | $512.86 | $512.86 | $724.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $144.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $95.50 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $676.08 |
Where Oregon sits
The same service costs 5.8 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· 8th of 51
$1,096
AK $2,455TX $427
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.