How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,950 to $9,550Professionalmedian $3,020 · 10th to 90th $1,660 to $4,467
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 $8,317.64 Typical High $17,378.01 | Facility | None | $5,128.61 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,778.28 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $6,918.31 Typical High $9,549.93 | Facility | None | $870.96 | $6,918.31 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $4,570.88 | Professional | None | $1,737.80 | $2,754.23 | $4,570.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $4,073.80 | Professional | None | $2,818.38 | $3,311.31 | $4,073.80 |
Moda Health Setting Facility Modifier None Typical Low $3,090.30 Median $4,570.88 Typical High $17,378.01 | Facility | None | $3,090.30 | $4,570.88 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $3,715.35 | Professional | None | $2,344.23 | $2,570.40 | $3,715.35 |
Pacific Source Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $3,388.44 | Facility | None | $1,949.84 | $3,162.28 | $3,388.44 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $6,309.57 Typical High $9,120.11 | Facility | None | $1,023.29 | $6,309.57 | $9,120.11 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,090.30 Typical High $4,570.88 | Professional | None | $79.43 | $3,090.30 | $4,570.88 |
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 $3,162.28 Median $3,388.44 Typical High $4,365.16 | Professional | None | $3,162.28 | $3,388.44 | $4,365.16 |
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 $2,041.74 Median $3,019.95 Typical High $4,897.79 | Professional | None | $2,041.74 | $3,019.95 | $4,897.79 |
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 $1,412.54 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,412.54 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $288.40 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $190.55 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,621.81 | $1,621.81 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,737.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $234.42 | $234.42 | $234.42 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,621.81 |
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 7.8 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· 10th of 51
$3,162
AK $6,761TX $871
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.