How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,479 to $7,943Professionalmedian $1,096 · 10th to 90th $437 to $3,981
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 $436.52 Median $1,174.90 Typical High $2,238.72 | Professional | None | $436.52 | $1,174.90 | $2,238.72 |
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 $467.74 Median $1,096.48 Typical High $4,073.80 | Professional | None | $467.74 | $1,096.48 | $4,073.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $933.25 Typical High $3,981.07 | Professional | None | $616.60 | $933.25 | $3,981.07 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $3,019.95 Typical High $17,378.01 | Facility | None | $630.96 | $3,019.95 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $436.52 Median $1,819.70 Typical High $3,801.89 | Professional | None | $436.52 | $1,819.70 | $3,801.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $2,884.03 | Facility | None | $1,621.81 | $2,344.23 | $2,884.03 |
Providence Setting Facility Modifier None Typical Low $707.95 Median $2,884.03 Typical High $3,981.07 | Facility | None | $707.95 | $2,884.03 | $3,981.07 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $912.01 Typical High $3,981.07 | Professional | None | $79.43 | $912.01 | $3,981.07 |
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 $630.96 Median $1,148.15 Typical High $4,265.80 | Professional | None | $630.96 | $1,148.15 | $4,265.80 |
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 $575.44 Median $1,548.82 Typical High $4,365.16 | Professional | None | $575.44 | $1,548.82 | $4,365.16 |
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 $218.78 Median $223.87 Typical High $1,122.02 | Professional | 52 · Reduced service | $218.78 | $223.87 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $89.13 Typical High $446.68 | Professional | 53 · Discontinued | $87.10 | $89.13 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $1,698.24 | Professional | 54 · Surgery only | $331.13 | $331.13 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $67.61 Typical High $338.84 | Professional | 55 · Aftercare only | $66.07 | $67.61 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $44.67 Typical High $223.87 | Professional | 56 · Pre-op care only | $43.65 | $44.67 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $1,584.89 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $1,122.02 | Professional | 52 · Reduced service | $218.78 | $218.78 | $1,122.02 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $446.68 | Professional | 53 · Discontinued | $87.10 | $87.10 | $446.68 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $1,698.24 | Professional | 54 · Surgery only | $331.13 | $331.13 | $1,698.24 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $338.84 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $338.84 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $223.87 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $223.87 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $1,584.89 |
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 5.8 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
$2,291
AK $3,548NE $617
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.