How much rates vary
Facilitymedian $851 · 10th to 90th $603 to $14,454Professionalmedian $813 · 10th to 90th $437 to $1,259
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 $15,488.17 Typical High $33,884.42 | Facility | None | $5,128.61 | $15,488.17 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $616.60 | Professional | None | $436.52 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $5,754.40 Typical High $7,762.47 | Facility | None | $2,398.83 | $5,754.40 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,202.26 | Professional | None | $588.84 | $776.25 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,047.13 | Professional | None | $741.31 | $851.14 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $676.08 Median $1,148.15 Typical High $33,884.42 | Facility | None | $676.08 | $1,148.15 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $1,174.90 | Professional | None | $588.84 | $660.69 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $501.19 Median $812.83 Typical High $870.96 | Facility | None | $501.19 | $812.83 | $870.96 |
Providence Setting Facility Modifier None Typical Low $933.25 Median $5,248.07 Typical High $7,762.47 | Facility | None | $933.25 | $5,248.07 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $794.33 Typical High $1,258.93 | Professional | None | $79.43 | $794.33 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $19,952.62 Typical High $22,908.68 | Facility | None | $14,454.40 | $19,952.62 | $22,908.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,288.25 | Professional | None | $831.76 | $870.96 | $1,288.25 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,513.56 | Professional | None | $630.96 | $891.25 | $1,513.56 |
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 $281.84 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $281.84 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $112.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $426.58 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $398.11 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $426.58 | $426.58 | $426.58 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $21,379.62 Median $30,199.52 Typical High $34,673.69 | Facility | 50 · Both sides | $21,379.62 | $30,199.52 | $34,673.69 |
Where Oregon sits
The same service costs 9.5 times more in Oklahoma 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· 16th of 51
$832
OK $3,236UT $339
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.