How much rates vary
Facilitymedian $813 · 10th to 90th $501 to $9,772Professionalmedian $724 · 10th to 90th $389 to $1,148
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 $549.54 Median $5,128.61 Typical High $19,952.62 | Facility | None | $549.54 | $5,128.61 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $512.86 | Professional | None | $346.74 | $398.11 | $512.86 |
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 $524.81 Median $707.95 Typical High $1,148.15 | Professional | None | $524.81 | $707.95 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,000.00 | Professional | None | $616.60 | $794.33 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $18,620.87 | Facility | None | $478.63 | $1,000.00 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $1,122.02 | Professional | None | $380.19 | $549.54 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $870.96 | Facility | None | $467.74 | $741.31 | $870.96 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $2,818.38 Typical High $4,466.84 | Facility | None | $537.03 | $2,818.38 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $758.58 Typical High $1,148.15 | Professional | None | $79.43 | $758.58 | $1,148.15 |
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 $870.96 Typical High $1,202.26 | Professional | None | $724.44 | $870.96 | $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 $1,288.25 | Professional | None | $549.54 | $794.33 | $1,288.25 |
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 $194.98 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $194.98 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 53 · Discontinued | $77.62 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | 54 · Surgery only | $295.12 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $194.98 | $194.98 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | 53 · Discontinued | $77.62 | $77.62 | $89.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | 54 · Surgery only | $295.12 | $295.12 | $338.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $44.67 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $275.42 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $275.42 | $275.42 | $316.23 |
Where Oregon sits
The same service costs 3.8 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· 7th of 51
$759
AK $1,349UT $355
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.