How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,175 to $14,125Professionalmedian $1,738 · 10th to 90th $933 to $2,630
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 $5,128.61 Median $11,748.98 Typical High $24,547.09 | Facility | None | $5,128.61 | $11,748.98 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,202.26 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $9,549.93 Typical High $13,182.57 | Facility | None | $1,412.54 | $9,549.93 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,258.93 | $1,621.81 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,513.56 | $1,778.28 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $1,380.38 Median $2,454.71 Typical High $24,547.09 | Facility | None | $1,380.38 | $2,454.71 | $24,547.09 |
Moda Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,348.96 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,071.52 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,737.80 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $1,288.25 Median $8,912.51 Typical High $13,182.57 | Facility | None | $1,288.25 | $8,912.51 | $13,182.57 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,698.24 Typical High $2,630.27 | Professional | None | $79.43 | $1,698.24 | $2,630.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $20,892.96 Typical High $40,738.03 | Facility | None | $14,454.40 | $20,892.96 | $40,738.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,737.80 | $1,819.70 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,348.96 | $1,905.46 | $3,162.28 |
13 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 $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $831.76 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $891.25 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $21,379.62 Median $31,622.78 Typical High $61,659.50 | Facility | 50 · Both sides | $21,379.62 | $31,622.78 | $61,659.50 |
Where Oregon sits
The same service costs 4.6 times more in Wyoming than in Montana. 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.
Physician feeFacility fee
WY $13,103MT $2,825
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.