How much rates vary
Facilitymedian $331 · 10th to 90th $204 to $741Professionalmedian $295 · 10th to 90th $195 to $468
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 $263.03 Median $4,265.80 Typical High $7,943.28 | Facility | None | $263.03 | $4,265.80 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $257.04 | Professional | None | $173.78 | $213.80 | $257.04 |
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 $204.17 Median $281.84 Typical High $489.78 | Professional | None | $204.17 | $281.84 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $501.19 | Professional | None | $316.23 | $389.05 | $501.19 |
Moda Health Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $6,606.93 | Facility | None | $257.04 | $363.08 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $257.04 Typical High $389.05 | Professional | None | $213.80 | $257.04 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $338.84 Typical High $371.54 | Facility | None | $204.17 | $338.84 | $371.54 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $288.40 Typical High $436.52 | Facility | None | $218.78 | $288.40 | $436.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $302.00 Typical High $478.63 | Professional | None | $79.43 | $302.00 | $478.63 |
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 $295.12 Median $354.81 Typical High $436.52 | Professional | None | $295.12 | $354.81 | $436.52 |
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 $204.17 Median $295.12 Typical High $512.86 | Professional | None | $204.17 | $295.12 | $512.86 |
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 $97.72 Median $107.15 Typical High $128.82 | Professional | 52 · Reduced service | $97.72 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $42.66 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $158.49 Typical High $194.98 | Professional | 54 · Surgery only | $144.54 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $31.62 Typical High $38.90 | Professional | 55 · Aftercare only | $28.84 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $21.38 Typical High $25.70 | Professional | 56 · Pre-op care only | $19.50 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $147.91 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $134.90 | $147.91 | $181.97 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 52 · Reduced service | $107.15 | $107.15 | $128.82 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $51.29 | Professional | 53 · Discontinued | $42.66 | $42.66 | $51.29 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | 54 · Surgery only | $158.49 | $158.49 | $194.98 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $38.90 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $25.70 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $147.91 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $147.91 | $147.91 | $181.97 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $954.99 Median $1,230.27 Typical High $1,445.44 | Facility | 50 · Both sides | $954.99 | $1,230.27 | $1,445.44 |
Where Oregon sits
The same service costs 4.6 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
$309
AK $617FL $135
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.