How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,047 to $13,804Professionalmedian $1,413 · 10th to 90th $776 to $2,138
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 $758.58 Median $1,096.48 Typical High $1,096.48 | Professional | None | $758.58 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $9,549.93 Typical High $13,182.57 | Facility | None | $1,230.27 | $9,549.93 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $2,187.76 | Professional | None | $831.76 | $1,288.25 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,621.81 | $1,995.26 |
Moda Health Setting Facility Modifier None Typical Low $1,230.27 Median $2,137.96 Typical High $18,620.87 | Facility | None | $1,230.27 | $2,137.96 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $831.76 Median $1,202.26 Typical High $1,778.28 | Professional | None | $831.76 | $1,202.26 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,513.56 Typical High $1,584.89 | Facility | None | $912.01 | $1,513.56 | $1,584.89 |
Providence Setting Facility Modifier None Typical Low $1,174.90 Median $8,912.51 Typical High $13,182.57 | Facility | None | $1,174.90 | $8,912.51 | $13,182.57 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,445.44 Typical High $2,187.76 | Professional | None | $79.43 | $1,445.44 | $2,187.76 |
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 $1,513.56 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,513.56 | $1,584.89 | $2,089.30 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,412.54 Typical High $2,290.87 | Professional | None | $954.99 | $1,412.54 | $2,290.87 |
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 $446.68 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $446.68 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $177.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $676.08 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $134.90 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $630.96 | $776.25 | $776.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $165.96 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $776.25 |
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 5.9 times more in Alaska 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
AK $14,644MT $2,489
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.