How much rates vary
Facilitymedian $1,445 · 10th to 90th $912 to $4,677Professionalmedian $1,413 · 10th to 90th $776 to $2,138
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 $977.24 Median $1,047.13 Typical High $1,047.13 | Professional | None | $977.24 | $1,047.13 | $1,047.13 |
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 $1,023.29 Median $1,318.26 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,318.26 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,445.44 | $1,737.80 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $7,943.28 | Facility | None | $1,122.02 | $1,819.70 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,148.15 | $1,949.84 |
Pacific Source Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $1,479.11 | Facility | None | $870.96 | $1,412.54 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $2,884.03 Typical High $4,265.80 | Facility | None | $977.24 | $2,884.03 | $4,265.80 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,380.38 Typical High $2,187.76 | Professional | None | $79.43 | $1,380.38 | $2,187.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,912.51 Median $12,589.25 Typical High $13,803.84 | Facility | None | $8,912.51 | $12,589.25 | $13,803.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $2,238.72 | Professional | None | $1,412.54 | $1,479.11 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,570.40 | Professional | None | $1,096.48 | $1,548.82 | $2,570.40 |
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 $489.78 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $489.78 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $194.98 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $741.31 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $97.72 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $691.83 | $741.31 | $741.31 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $208.93 | $208.93 | $208.93 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $104.71 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,489.63 Median $18,620.87 Typical High $20,892.96 | Facility | 50 · Both sides | $13,489.63 | $18,620.87 | $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· 9th of 51
$1,445
AK $3,020UT $525
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.