How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,202 to $7,943Professionalmedian $1,202 · 10th to 90th $501 to $3,388
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 $616.60 Median $8,317.64 Typical High $17,378.01 | Facility | None | $616.60 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $1,202.26 Typical High $2,344.23 | Professional | None | $363.08 | $1,202.26 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,019.95 Typical High $4,168.69 | Facility | None | $1,000.00 | $3,019.95 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $1,258.93 Typical High $3,467.37 | Professional | None | $537.03 | $1,258.93 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $3,388.44 | Professional | None | $707.95 | $1,047.13 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $2,344.23 Typical High $13,182.57 | Facility | None | $123.03 | $2,344.23 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $489.78 Median $1,258.93 Typical High $3,090.30 | Professional | None | $489.78 | $1,258.93 | $3,090.30 |
Pacific Source Setting Facility Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $2,570.40 | Facility | None | $1,445.44 | $2,137.96 | $2,570.40 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $2,754.23 Typical High $4,168.69 | Facility | None | $794.33 | $2,754.23 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,047.13 Typical High $3,388.44 | Professional | None | $79.43 | $1,047.13 | $3,388.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $10,964.78 Typical High $12,882.50 | Facility | None | $8,317.64 | $10,964.78 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $1,318.26 Typical High $3,630.78 | Professional | None | $724.44 | $1,318.26 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,548.82 Typical High $3,715.35 | Professional | None | $660.69 | $1,548.82 | $3,715.35 |
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 $251.19 Median $263.03 Typical High $954.99 | Professional | 52 · Reduced service | $251.19 | $263.03 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $104.71 Typical High $380.19 | Professional | 53 · Discontinued | $100.00 | $104.71 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $398.11 Typical High $1,445.44 | Professional | 54 · Surgery only | $380.19 | $398.11 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $79.43 Typical High $288.40 | Professional | 55 · Aftercare only | $75.86 | $79.43 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $52.48 Typical High $190.55 | Professional | 56 · Pre-op care only | $50.12 | $52.48 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $371.54 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $354.81 | $371.54 | $1,348.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $251.19 Typical High $954.99 | Professional | 52 · Reduced service | $251.19 | $251.19 | $954.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $380.19 | Professional | 53 · Discontinued | $100.00 | $100.00 | $380.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $1,445.44 | Professional | 54 · Surgery only | $380.19 | $380.19 | $1,445.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $288.40 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $288.40 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $190.55 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $190.55 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $1,348.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $12,302.69 Median $16,595.87 Typical High $19,054.61 | Facility | 50 · Both sides | $12,302.69 | $16,595.87 | $19,054.61 |
Where Oregon sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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· 4th of 51
$1,995
AK $3,020NE $692
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.