How much rates vary
Facilitymedian $575 · 10th to 90th $324 to $1,445Professionalmedian $479 · 10th to 90th $302 to $794
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 $309.03 Median $309.03 Typical High $467.74 | Professional | None | $309.03 | $309.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $912.01 | Facility | None | $478.63 | $602.56 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $831.76 | Professional | None | $302.00 | $478.63 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $741.31 | Professional | None | $371.54 | $524.81 | $741.31 |
Moda Health Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $7,943.28 | Facility | None | $436.52 | $676.08 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $309.03 Median $467.74 Typical High $645.65 | Professional | None | $309.03 | $467.74 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $616.60 | Facility | None | $346.74 | $549.54 | $616.60 |
Providence Setting Facility Modifier None Typical Low $457.09 Median $616.60 Typical High $912.01 | Facility | None | $457.09 | $616.60 | $912.01 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $501.19 Typical High $794.33 | Professional | None | $79.43 | $501.19 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $2,187.76 | Facility | None | $1,318.26 | $1,819.70 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $794.33 | Professional | None | $380.19 | $562.34 | $794.33 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $851.14 | Professional | None | $338.84 | $537.03 | $851.14 |
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 $154.88 Median $154.88 Typical High $234.42 | Professional | 52 · Reduced service | $154.88 | $154.88 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | 53 · Discontinued | $61.66 | $61.66 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $354.81 | Professional | 54 · Surgery only | $229.09 | $229.09 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $70.79 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $46.77 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $213.80 | $213.80 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | 52 · Reduced service | $154.88 | $154.88 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | 53 · Discontinued | $61.66 | $61.66 | $93.33 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $354.81 | Professional | 54 · Surgery only | $229.09 | $229.09 | $354.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $70.79 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $70.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $46.77 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $46.77 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $213.80 | $213.80 | $331.13 |
Where Oregon sits
The same service costs 3.7 times more in Wisconsin than in Utah. 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
$525
WI $891UT $240
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.