How much rates vary
Facilitymedian $316 · 10th to 90th $191 to $1,318Professionalmedian $263 · 10th to 90th $158 to $417
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $288.40 | Professional | None | $169.82 | $173.78 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $245.47 Typical High $346.74 | Facility | None | $138.04 | $245.47 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $446.68 | Professional | None | $158.49 | $263.03 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $446.68 | Professional | None | $186.21 | $275.42 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $6,606.93 | Facility | None | $229.09 | $398.11 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $371.54 | Professional | None | $169.82 | $263.03 | $371.54 |
Pacific Source Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $354.81 | Facility | None | $204.17 | $316.23 | $354.81 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $457.09 | Facility | None | $162.18 | $263.03 | $457.09 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $263.03 Typical High $446.68 | Professional | None | $79.43 | $263.03 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,318.26 | $1,778.28 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $354.81 | Professional | None | $208.93 | $323.59 | $354.81 |
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 $177.83 Median $281.84 Typical High $467.74 | Professional | None | $177.83 | $281.84 | $467.74 |
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 $85.11 Median $85.11 Typical High $141.25 | Professional | 52 · Reduced service | $85.11 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 53 · Discontinued | $33.88 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | 54 · Surgery only | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $28.18 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $28.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $117.49 | $117.49 | $199.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | 52 · Reduced service | $85.11 | $85.11 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $57.54 | Professional | 53 · Discontinued | $33.88 | $33.88 | $57.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | 54 · Surgery only | $125.89 | $125.89 | $213.80 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | 55 · Aftercare only | $25.12 | $25.12 | $42.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $28.18 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $28.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $117.49 | $117.49 | $199.53 |
Where Oregon sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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
$269
AK $437NJ $126
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.