How much rates vary
Facilitymedian $741 · 10th to 90th $447 to $6,026Professionalmedian $617 · 10th to 90th $347 to $1,000
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 $295.12 Median $446.68 Typical High $602.56 | Professional | None | $295.12 | $446.68 | $602.56 |
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 $426.58 Median $630.96 Typical High $1,047.13 | Professional | None | $426.58 | $630.96 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $933.25 | Professional | None | $512.86 | $707.95 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $602.56 Median $851.14 Typical High $8,511.38 | Facility | None | $602.56 | $851.14 | $8,511.38 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $562.34 Typical High $776.25 | Professional | None | $346.74 | $562.34 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $758.58 | Facility | None | $436.52 | $691.83 | $758.58 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $2,238.72 Typical High $3,801.89 | Facility | None | $630.96 | $2,238.72 | $3,801.89 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $1,023.29 | Professional | None | $79.43 | $645.65 | $1,023.29 |
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 $537.03 Median $707.95 Typical High $1,023.29 | Professional | None | $537.03 | $707.95 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $1,096.48 | Professional | None | $457.09 | $741.31 | $1,096.48 |
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 $223.87 Median $223.87 Typical High $302.00 | Professional | 52 · Reduced service | $223.87 | $223.87 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | 53 · Discontinued | $89.13 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | 54 · Surgery only | $331.13 | $331.13 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $223.87 Typical High $302.00 | Professional | 52 · Reduced service | $223.87 | $223.87 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | 53 · Discontinued | $89.13 | $89.13 | $120.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | 54 · Surgery only | $331.13 | $331.13 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $60.26 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $60.26 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $309.03 | $309.03 | $416.87 |
Where Oregon sits
The same service costs 4.9 times more in Alaska 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· 8th of 51
$692
AK $1,479UT $302
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.