How much rates vary
Facilitymedian $891 · 10th to 90th $525 to $2,951Professionalmedian $676 · 10th to 90th $355 to $1,122
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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $741.31 | Professional | None | $457.09 | $457.09 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $2,754.23 | Facility | None | $1,202.26 | $2,089.30 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $645.65 Typical High $1,230.27 | Professional | None | $309.03 | $645.65 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,122.02 | Professional | None | $501.19 | $724.44 | $1,122.02 |
Moda Health Setting Facility Modifier None Typical Low $588.84 Median $812.83 Typical High $7,943.28 | Facility | None | $588.84 | $812.83 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $977.24 | Professional | None | $457.09 | $741.31 | $977.24 |
Pacific Source Setting Facility Modifier None Typical Low $489.78 Median $851.14 Typical High $912.01 | Facility | None | $489.78 | $851.14 | $912.01 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,754.23 | Facility | None | $691.83 | $1,778.28 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $630.96 Typical High $1,122.02 | Professional | None | $79.43 | $630.96 | $1,122.02 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $8,128.31 Typical High $9,332.54 | Facility | None | $5,754.40 | $8,128.31 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $912.01 | Professional | None | $562.34 | $812.83 | $912.01 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,022.64 | Facility | None | $1,230.27 | $1,862.09 | $12,022.64 |
United Setting Professional Modifier None Typical Low $467.74 Median $758.58 Typical High $1,288.25 | Professional | None | $467.74 | $758.58 | $1,288.25 |
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 $229.09 Median $229.09 Typical High $371.54 | Professional | 52 · Reduced service | $229.09 | $229.09 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | 53 · Discontinued | $91.20 | $91.20 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $562.34 | Professional | 54 · Surgery only | $338.84 | $338.84 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $112.20 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $74.13 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $316.23 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $316.23 | $316.23 | $524.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $251.19 Typical High $371.54 | Professional | 52 · Reduced service | $229.09 | $251.19 | $371.54 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $100.00 Typical High $147.91 | Professional | 53 · Discontinued | $91.20 | $100.00 | $147.91 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $380.19 Typical High $562.34 | Professional | 54 · Surgery only | $338.84 | $380.19 | $562.34 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $75.86 Typical High $112.20 | Professional | 55 · Aftercare only | $67.61 | $75.86 | $112.20 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $50.12 Typical High $74.13 | Professional | 56 · Pre-op care only | $45.71 | $50.12 | $74.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $354.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $316.23 | $354.81 | $524.81 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,709.64 Median $12,302.69 Typical High $13,803.84 | Facility | 50 · Both sides | $8,709.64 | $12,302.69 | $13,803.84 |
Where Oregon sits
The same service costs 5.5 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· 6th of 51
$759
AK $1,585UT $288
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.