How much rates vary
Facilitymedian $832 · 10th to 90th $490 to $9,772Professionalmedian $724 · 10th to 90th $398 to $1,175
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 $489.78 Median $7,943.28 Typical High $24,547.09 | Facility | None | $489.78 | $7,943.28 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $562.34 | Professional | None | $354.81 | $426.58 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $3,311.31 Typical High $4,466.84 | Facility | None | $1,412.54 | $3,311.31 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,174.90 | Professional | None | $512.86 | $724.44 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,000.00 | Professional | None | $645.65 | $812.83 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $489.78 Median $1,000.00 Typical High $15,488.17 | Facility | None | $489.78 | $1,000.00 | $15,488.17 |
Moda Health Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $1,000.00 | Professional | None | $389.05 | $537.03 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $851.14 | Facility | None | $478.63 | $741.31 | $851.14 |
Providence Setting Facility Modifier None Typical Low $549.54 Median $2,630.27 Typical High $4,466.84 | Facility | None | $549.54 | $2,630.27 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $758.58 Typical High $1,174.90 | Professional | None | $79.43 | $758.58 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $10,715.19 Typical High $12,589.25 | Facility | None | $7,413.10 | $10,715.19 | $12,589.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,202.26 | Professional | None | $724.44 | $891.25 | $1,202.26 |
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 $549.54 Median $794.33 Typical High $1,318.26 | Professional | None | $549.54 | $794.33 | $1,318.26 |
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 $199.53 Median $199.53 Typical High $229.09 | Professional | 52 · Reduced service | $199.53 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | 54 · Surgery only | $302.00 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | 52 · Reduced service | $199.53 | $199.53 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $79.43 | $79.43 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | 54 · Surgery only | $302.00 | $302.00 | $346.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $69.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $45.71 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $281.84 | $281.84 | $323.59 |
Where Oregon sits
The same service costs 4.3 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· 7th of 51
$759
AK $1,380UT $324
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.