How much rates vary
Facilitymedian $776 · 10th to 90th $479 to $4,677Professionalmedian $676 · 10th to 90th $316 to $1,096
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 $338.84 Median $524.81 Typical High $676.08 | Professional | None | $338.84 | $524.81 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $954.99 | Facility | None | $478.63 | $602.56 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $645.65 Typical High $1,174.90 | Professional | None | $309.03 | $645.65 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,071.52 | Professional | None | $562.34 | $831.76 | $1,071.52 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $954.99 Typical High $6,606.93 | Facility | None | $562.34 | $954.99 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $933.25 | Professional | None | $363.08 | $575.44 | $933.25 |
Pacific Source Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $851.14 | Facility | None | $467.74 | $741.31 | $851.14 |
Providence Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $1,071.52 | Facility | None | $478.63 | $660.69 | $1,071.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $1,096.48 | Professional | None | $79.43 | $645.65 | $1,096.48 |
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 $645.65 Median $831.76 Typical High $933.25 | Professional | None | $645.65 | $831.76 | $933.25 |
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 $501.19 Median $707.95 Typical High $1,230.27 | Professional | None | $501.19 | $707.95 | $1,230.27 |
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 $257.04 Median $263.03 Typical High $338.84 | Professional | 52 · Reduced service | $257.04 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $134.90 | Professional | 53 · Discontinued | $102.33 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $512.86 | Professional | 54 · Surgery only | $389.05 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $79.43 Typical High $102.33 | Professional | 55 · Aftercare only | $77.62 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $52.48 Typical High $67.61 | Professional | 56 · Pre-op care only | $51.29 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $478.63 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | 52 · Reduced service | $263.03 | $263.03 | $338.84 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | 53 · Discontinued | $104.71 | $104.71 | $134.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $512.86 | Professional | 54 · Surgery only | $389.05 | $389.05 | $512.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $102.33 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $67.61 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $478.63 |
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 5.0 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· 8th of 51
$708
AK $1,380UT $275
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.