How much rates vary
Facilitymedian $537 · 10th to 90th $324 to $1,549Professionalmedian $479 · 10th to 90th $295 to $776
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 $457.09 | Professional | None | $309.03 | $309.03 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $891.25 | Facility | None | $316.23 | $398.11 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $794.33 | Professional | None | $295.12 | $478.63 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $707.95 | Professional | None | $354.81 | $489.78 | $707.95 |
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 $457.09 Typical High $645.65 | Professional | None | $309.03 | $457.09 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $630.96 | Facility | None | $338.84 | $537.03 | $630.96 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $457.09 Typical High $977.24 | Facility | None | $316.23 | $457.09 | $977.24 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $489.78 Typical High $794.33 | Professional | None | $79.43 | $489.78 | $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 $549.54 Typical High $776.25 | Professional | None | $380.19 | $549.54 | $776.25 |
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 $346.74 Median $537.03 Typical High $870.96 | Professional | None | $346.74 | $537.03 | $870.96 |
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 $229.09 | Professional | 52 · Reduced service | $154.88 | $154.88 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | 53 · Discontinued | $61.66 | $61.66 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $346.74 | Professional | 54 · Surgery only | $229.09 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $69.18 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $213.80 | $213.80 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | 52 · Reduced service | $154.88 | $154.88 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | 53 · Discontinued | $61.66 | $61.66 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $346.74 | Professional | 54 · Surgery only | $229.09 | $229.09 | $346.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $69.18 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $69.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $45.71 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $213.80 | $213.80 | $323.59 |
Where Oregon sits
The same service costs 3.7 times more in Wisconsin 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· 7th of 51
$513
WI $891TX $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.