How much rates vary
Facilitymedian $676 · 10th to 90th $468 to $5,370Professionalmedian $631 · 10th to 90th $347 to $933
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $457.09 | Professional | None | $426.58 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $2,454.71 | Facility | None | $891.25 | $1,819.70 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $933.25 | Professional | None | $398.11 | $562.34 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $831.76 | Professional | None | $588.84 | $676.08 | $831.76 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $1,318.26 Typical High $8,709.64 | Facility | None | $549.54 | $1,318.26 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $891.25 | Professional | None | $457.09 | $549.54 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $407.38 Median $660.69 Typical High $741.31 | Facility | None | $407.38 | $660.69 | $741.31 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $1,621.81 Typical High $2,454.71 | Facility | None | $602.56 | $1,621.81 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $630.96 Typical High $977.24 | Professional | None | $79.43 | $630.96 | $977.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,128.61 Median $6,918.31 Typical High $7,762.47 | Facility | None | $5,128.61 | $6,918.31 | $7,762.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $870.96 | Professional | None | $630.96 | $676.08 | $870.96 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $1,023.29 | Professional | None | $436.52 | $645.65 | $1,023.29 |
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 $213.80 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $85.11 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $316.23 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $63.10 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $42.66 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $295.12 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $91.20 | $91.20 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $45.71 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,762.47 Median $10,232.93 Typical High $11,481.54 | Facility | 50 · Both sides | $7,762.47 | $10,232.93 | $11,481.54 |
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· 10th of 51
$646
AK $1,349UT $234
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.