How much rates vary
Facilitymedian $490 · 10th to 90th $288 to $1,549Professionalmedian $398 · 10th to 90th $263 to $617
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 $229.09 Median $269.15 Typical High $407.38 | Professional | None | $229.09 | $269.15 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $645.65 | Professional | None | $263.03 | $389.05 | $645.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $630.96 | Professional | None | $309.03 | $446.68 | $630.96 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $6,606.93 | Facility | None | $380.19 | $588.84 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $562.34 | Professional | None | $269.15 | $389.05 | $562.34 |
Pacific Source Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $512.86 | Facility | None | $288.40 | $478.63 | $512.86 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $575.44 Typical High $812.83 | Facility | None | $389.05 | $575.44 | $812.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $389.05 Typical High $660.69 | Professional | None | $79.43 | $389.05 | $660.69 |
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 $346.74 Median $489.78 Typical High $588.84 | Professional | None | $346.74 | $489.78 | $588.84 |
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 $288.40 Median $426.58 Typical High $676.08 | Professional | None | $288.40 | $426.58 | $676.08 |
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 $128.82 Median $134.90 Typical High $204.17 | Professional | 52 · Reduced service | $128.82 | $134.90 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $53.70 Typical High $81.28 | Professional | 53 · Discontinued | $51.29 | $53.70 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $204.17 Typical High $309.03 | Professional | 54 · Surgery only | $194.98 | $204.17 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $40.74 Typical High $61.66 | Professional | 55 · Aftercare only | $38.90 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $26.92 Typical High $40.74 | Professional | 56 · Pre-op care only | $25.70 | $26.92 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $190.55 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $181.97 | $190.55 | $288.40 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $134.90 Typical High $204.17 | Professional | 52 · Reduced service | $134.90 | $134.90 | $204.17 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $81.28 | Professional | 53 · Discontinued | $53.70 | $53.70 | $81.28 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | 54 · Surgery only | $204.17 | $204.17 | $309.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $61.66 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $61.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $40.74 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $40.74 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $190.55 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $190.55 | $190.55 | $288.40 |
Where Oregon sits
The same service costs 4.2 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· 7th of 51
$407
AK $741TX $178
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.