How much rates vary
Facilitymedian $1,514 · 10th to 90th $955 to $4,365Professionalmedian $1,479 · 10th to 90th $794 to $2,239
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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,023.29 | Professional | None | $794.33 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $3,235.94 Typical High $4,365.16 | Facility | None | $870.96 | $3,235.94 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,380.38 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,513.56 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $7,943.28 | Facility | None | $1,122.02 | $1,862.09 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,174.90 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $912.01 Median $1,479.11 Typical High $1,548.82 | Facility | None | $912.01 | $1,479.11 | $1,548.82 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $2,884.03 Typical High $4,265.80 | Facility | None | $1,023.29 | $2,884.03 | $4,265.80 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,445.44 Typical High $2,290.87 | Professional | None | $79.43 | $1,445.44 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $12,022.64 Typical High $13,803.84 | Facility | None | $5,754.40 | $12,022.64 | $13,803.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,479.11 | $1,548.82 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,148.15 | $1,621.81 | $2,691.53 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,511.38 Median $18,197.01 Typical High $20,892.96 | Facility | 50 · Both sides | $8,511.38 | $18,197.01 | $20,892.96 |
Where Oregon sits
The same service costs 5.8 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· 11th of 51
$1,514
AK $3,162UT $550
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.