How much rates vary
Facilitymedian $257 · 10th to 90th $155 to $977Professionalmedian $229 · 10th to 90th $148 to $355
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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $204.17 | Professional | None | $134.90 | $158.49 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $177.83 Typical High $660.69 | Facility | None | $141.25 | $177.83 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $363.08 | Professional | None | $144.54 | $213.80 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $354.81 | Professional | None | $218.78 | $275.42 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $316.23 Typical High $6,606.93 | Facility | None | $186.21 | $316.23 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $309.03 | Professional | None | $154.88 | $186.21 | $309.03 |
Pacific Source Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $281.84 | Facility | None | $154.88 | $251.19 | $281.84 |
Providence Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $660.69 | Facility | None | $144.54 | $213.80 | $660.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $234.42 Typical High $363.08 | Professional | None | $79.43 | $234.42 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,174.90 | Facility | None | $776.25 | $1,023.29 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $331.13 | Professional | None | $229.09 | $263.03 | $331.13 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $389.05 | Professional | None | $158.49 | $229.09 | $389.05 |
14 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 $79.43 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $120.23 Typical High $138.04 | Professional | 54 · Surgery only | $117.49 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $112.20 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $109.65 | $112.20 | $128.82 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $588.84 Typical High $891.25 | Professional | 50 · Both sides | $234.42 | $588.84 | $891.25 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $79.43 | $93.33 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $31.62 | $37.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | 54 · Surgery only | $120.23 | $120.23 | $138.04 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $27.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $18.62 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $18.62 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $112.20 | $112.20 | $128.82 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,174.90 Median $1,548.82 Typical High $1,737.80 | Facility | 50 · Both sides | $1,174.90 | $1,548.82 | $1,737.80 |
Where Oregon sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$229
AK $490FL $117
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.