How much rates vary
Facilitymedian $724 · 10th to 90th $501 to $6,026Professionalmedian $676 · 10th to 90th $389 to $1,047
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 $436.52 Median $562.34 Typical High $562.34 | Professional | None | $436.52 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,691.53 Typical High $3,630.78 | Facility | None | $891.25 | $2,691.53 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,023.29 | Professional | None | $436.52 | $616.60 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $977.24 | Professional | None | $630.96 | $776.25 | $977.24 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $1,023.29 Typical High $8,709.64 | Facility | None | $588.84 | $1,023.29 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $1,000.00 | Professional | None | $524.81 | $588.84 | $1,000.00 |
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 $707.95 Median $2,398.83 Typical High $3,630.78 | Facility | None | $707.95 | $2,398.83 | $3,630.78 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $676.08 Typical High $1,122.02 | Professional | None | $79.43 | $676.08 | $1,122.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $9,772.37 Typical High $11,220.18 | Facility | None | $6,918.31 | $9,772.37 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $1,023.29 | Professional | None | $724.44 | $758.58 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,022.64 | Facility | None | $1,230.27 | $1,862.09 | $12,022.64 |
United Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $1,148.15 | Professional | None | $549.54 | $676.08 | $1,148.15 |
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 $204.17 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $204.17 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $81.28 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $302.00 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $60.26 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $40.74 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $281.84 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $281.84 | $281.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $102.33 | $112.20 | $112.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $389.05 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $77.62 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $51.29 | $56.23 | $56.23 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $363.08 | $389.05 | $389.05 |
Where Oregon sits
The same service costs 5.1 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· 10th of 51
$708
AK $1,549UT $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.