How much rates vary
Facilitymedian $724 · 10th to 90th $437 to $8,511Professionalmedian $661 · 10th to 90th $302 to $1,047
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 $575.44 Median $588.84 Typical High $588.84 | Professional | None | $575.44 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $23,988.33 | Facility | None | $549.54 | $1,000.00 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $1,071.52 | Professional | None | $302.00 | $630.96 | $1,071.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $691.83 Typical High $812.83 | Professional | None | $316.23 | $691.83 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $8,709.64 | Facility | None | $616.60 | $1,023.29 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $1,202.26 | Professional | None | $524.81 | $588.84 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $741.31 | Facility | None | $436.52 | $707.95 | $741.31 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $251,188.64 Typical High $251,188.64 | Facility | None | $660.69 | $251,188.64 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $630.96 Typical High $1,047.13 | Professional | None | $79.43 | $630.96 | $1,047.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $933.25 | Professional | None | $707.95 | $758.58 | $933.25 |
United Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $11,481.54 | Facility | None | $602.56 | $870.96 | $11,481.54 |
United Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,230.27 | Professional | None | $501.19 | $707.95 | $1,230.27 |
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 $239.88 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $363.08 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $72.44 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $47.86 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $338.84 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $288.40 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $114.82 | $117.49 | $117.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $426.58 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $85.11 | $87.10 | $87.10 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $57.54 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $398.11 | $407.38 | $407.38 |
Where Oregon sits
The same service costs 6.9 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· 9th of 51
$708
AK $1,514UT $219
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.