How much rates vary
Facilitymedian $407 · 10th to 90th $234 to $759Professionalmedian $372 · 10th to 90th $229 to $562
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $309.03 | Professional | None | $186.21 | $275.42 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $263.03 Typical High $371.54 | Facility | None | $147.91 | $263.03 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $588.84 | Professional | None | $234.42 | $363.08 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $588.84 | Professional | None | $389.05 | $489.78 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $6,606.93 | Facility | None | $331.13 | $524.81 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $467.74 | Professional | None | $223.87 | $309.03 | $467.74 |
Pacific Source Setting Facility Modifier None Typical Low $245.47 Median $407.38 Typical High $436.52 | Facility | None | $245.47 | $407.38 | $436.52 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $524.81 | Facility | None | $218.78 | $309.03 | $524.81 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $371.54 Typical High $588.84 | Professional | None | $79.43 | $371.54 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $954.99 | Facility | None | $645.65 | $812.83 | $954.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $537.03 | Professional | None | $380.19 | $416.87 | $537.03 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $630.96 | Professional | None | $245.47 | $363.08 | $630.96 |
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 $120.23 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $48.98 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $204.17 Typical High $229.09 | Professional | 54 · Surgery only | $181.97 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $40.74 Typical High $45.71 | Professional | 55 · Aftercare only | $36.31 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $27.54 Typical High $30.90 | Professional | 56 · Pre-op care only | $23.99 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $190.55 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $169.82 | $190.55 | $213.80 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | 52 · Reduced service | $138.04 | $138.04 | $151.36 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $54.95 | $61.66 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | 54 · Surgery only | $204.17 | $204.17 | $229.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $45.71 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $45.71 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $30.90 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $190.55 | $190.55 | $213.80 |
Where Oregon sits
The same service costs 4.8 times more in Alaska than in Florida. 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
$372
AK $794FL $166
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.