How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,479 to $18,197Professionalmedian $2,344 · 10th to 90th $1,288 to $3,467
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,258.93 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $16,218.10 Typical High $21,877.62 | Facility | None | $870.96 | $16,218.10 | $21,877.62 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $3,548.13 | Professional | None | $1,348.96 | $2,089.30 | $3,548.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,238.72 | $2,570.40 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $17,378.01 | Facility | None | $2,290.87 | $3,467.37 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,778.28 | $1,995.26 | $3,090.30 |
Pacific Source Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $2,570.40 | Facility | None | $1,479.11 | $2,398.83 | $2,570.40 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $14,454.40 Typical High $20,892.96 | Facility | None | $1,023.29 | $14,454.40 | $20,892.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,344.23 Typical High $3,548.13 | Professional | None | $79.43 | $2,344.23 | $3,548.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $33,884.42 Median $44,668.36 Typical High $56,234.13 | Facility | None | $33,884.42 | $44,668.36 | $56,234.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,570.40 | $3,388.44 |
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 $1,513.56 Median $2,290.87 Typical High $3,801.89 | Professional | None | $1,513.56 | $2,290.87 | $3,801.89 |
9 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 54 · Surgery only Typical Low $1,096.48 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,096.48 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $218.78 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $144.54 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,258.93 | $1,258.93 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,348.96 | $1,348.96 | $1,348.96 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $177.83 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $51,286.14 Median $67,608.30 Typical High $85,113.80 | Facility | 50 · Both sides | $51,286.14 | $67,608.30 | $85,113.80 |
Where Oregon sits
The same service costs 8.1 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· 9th of 51
$2,455
AK $5,248TX $646
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.