How much rates vary
Facilitymedian $977 · 10th to 90th $617 to $5,623Professionalmedian $813 · 10th to 90th $501 to $1,318
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $831.76 | Professional | None | $457.09 | $562.34 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,754.23 Typical High $3,801.89 | Facility | None | $891.25 | $2,754.23 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $1,445.44 | Professional | None | $549.54 | $794.33 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,288.25 | Professional | None | $616.60 | $831.76 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $7,943.28 | Facility | None | $776.25 | $1,174.90 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,122.02 | Professional | None | $549.54 | $831.76 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $1,047.13 | Facility | None | $588.84 | $977.24 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $776.25 Median $2,238.72 Typical High $3,801.89 | Facility | None | $776.25 | $2,238.72 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $794.33 Typical High $1,318.26 | Professional | None | $79.43 | $794.33 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $10,964.78 Typical High $12,882.50 | Facility | None | $7,413.10 | $10,964.78 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $1,122.02 | Professional | None | $707.95 | $977.24 | $1,122.02 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,445.44 | Professional | None | $524.81 | $891.25 | $1,445.44 |
12 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 $229.09 Median $281.84 Typical High $407.38 | Professional | 52 · Reduced service | $229.09 | $281.84 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $112.20 Typical High $165.96 | Professional | 53 · Discontinued | $91.20 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $416.87 Typical High $616.60 | Professional | 54 · Surgery only | $346.74 | $416.87 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $83.18 Typical High $123.03 | Professional | 55 · Aftercare only | $69.18 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $56.23 Typical High $83.18 | Professional | 56 · Pre-op care only | $45.71 | $56.23 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $389.05 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $323.59 | $389.05 | $575.44 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $281.84 Typical High $407.38 | Professional | 52 · Reduced service | $213.80 | $281.84 | $407.38 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $112.20 Typical High $165.96 | Professional | 53 · Discontinued | $87.10 | $112.20 | $165.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $416.87 Typical High $616.60 | Professional | 54 · Surgery only | $323.59 | $416.87 | $616.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $83.18 Typical High $123.03 | Professional | 55 · Aftercare only | $64.57 | $83.18 | $123.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $56.23 Typical High $83.18 | Professional | 56 · Pre-op care only | $43.65 | $56.23 | $83.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $389.05 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $302.00 | $389.05 | $575.44 |
Where Oregon sits
The same service costs 4.4 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· 6th of 51
$891
AK $1,950TX $447
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.