How much rates vary
Facilitymedian $1,122 · 10th to 90th $708 to $6,026Professionalmedian $1,023 · 10th to 90th $537 to $1,585
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 $616.60 Median $851.14 Typical High $851.14 | Professional | None | $616.60 | $851.14 | $851.14 |
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 $660.69 Median $933.25 Typical High $1,548.82 | Professional | None | $660.69 | $933.25 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,479.11 | Professional | None | $954.99 | $1,202.26 | $1,479.11 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $1,445.44 Typical High $8,709.64 | Facility | None | $851.14 | $1,445.44 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,513.56 | Professional | None | $776.25 | $851.14 | $1,513.56 |
Pacific Source Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,148.15 | Facility | None | $660.69 | $1,023.29 | $1,148.15 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $2,398.83 Typical High $3,630.78 | Facility | None | $891.25 | $2,398.83 | $3,630.78 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,000.00 Typical High $1,698.24 | Professional | None | $79.43 | $1,000.00 | $1,698.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $9,549.93 Typical High $10,964.78 | Facility | None | $6,918.31 | $9,549.93 | $10,964.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,148.15 | $1,548.82 |
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 $812.83 Median $1,023.29 Typical High $1,737.80 | Professional | None | $812.83 | $1,023.29 | $1,737.80 |
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 $309.03 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $309.03 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $123.03 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $457.09 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $93.33 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $61.66 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $426.58 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $398.11 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $158.49 | $173.78 | $173.78 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $588.84 | $645.65 | $645.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $120.23 | $128.82 | $128.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $79.43 | $85.11 | $85.11 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $549.54 | $602.56 | $602.56 |
Where Oregon sits
The same service costs 5.5 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· 11th of 51
$1,023
AK $2,344TX $427
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.