How much rates vary
Facilitymedian $3,981 · 10th to 90th $2,399 to $11,220Professionalmedian $1,514 · 10th to 90th $603 to $5,370
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 $10,715.19 Typical High $18,620.87 | Facility | None | $5,128.61 | $10,715.19 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,995.26 Typical High $3,890.45 | Professional | None | $562.34 | $1,995.26 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $6,760.83 Typical High $9,120.11 | Facility | None | $1,000.00 | $6,760.83 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,659.59 Typical High $5,888.44 | Professional | None | $467.74 | $1,659.59 | $5,888.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $5,248.07 | Professional | None | $758.58 | $1,071.52 | $5,248.07 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $5,495.41 Typical High $18,620.87 | Facility | None | $933.25 | $5,495.41 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $660.69 Median $2,344.23 Typical High $4,677.35 | Professional | None | $660.69 | $2,344.23 | $4,677.35 |
Pacific Source Setting Facility Modifier None Typical Low $2,691.53 Median $3,981.07 Typical High $4,570.88 | Facility | None | $2,691.53 | $3,981.07 | $4,570.88 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $5,888.44 Typical High $8,511.38 | Facility | None | $831.76 | $5,888.44 | $8,511.38 |
Providence Setting Professional Modifier None Typical Low $309.03 Median $1,318.26 Typical High $5,754.40 | Professional | None | $309.03 | $1,318.26 | $5,754.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $14,125.38 Typical High $17,378.01 | Facility | None | $11,481.54 | $14,125.38 | $17,378.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $4,265.80 | Professional | None | $851.14 | $1,412.54 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $691.83 Median $2,137.96 Typical High $5,754.40 | Professional | None | $691.83 | $2,137.96 | $5,754.40 |
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 $338.84 Median $467.74 Typical High $1,905.46 | Professional | 52 · Reduced service | $338.84 | $467.74 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $190.55 Typical High $776.25 | Professional | 53 · Discontinued | $138.04 | $190.55 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $707.95 Typical High $2,884.03 | Professional | 54 · Surgery only | $512.86 | $707.95 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $141.25 Typical High $575.44 | Professional | 55 · Aftercare only | $102.33 | $141.25 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $95.50 Typical High $389.05 | Professional | 56 · Pre-op care only | $69.18 | $95.50 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $660.69 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $478.63 | $660.69 | $2,691.53 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $467.74 Typical High $1,905.46 | Professional | 52 · Reduced service | $338.84 | $467.74 | $1,905.46 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $190.55 Typical High $776.25 | Professional | 53 · Discontinued | $138.04 | $190.55 | $776.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $707.95 Typical High $2,884.03 | Professional | 54 · Surgery only | $512.86 | $707.95 | $2,884.03 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $141.25 Typical High $575.44 | Professional | 55 · Aftercare only | $102.33 | $141.25 | $575.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $95.50 Typical High $389.05 | Professional | 56 · Pre-op care only | $69.18 | $95.50 | $389.05 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $660.69 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $478.63 | $660.69 | $2,691.53 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $21,379.62 Typical High $25,703.96 | Facility | 50 · Both sides | $16,982.44 | $21,379.62 | $25,703.96 |
Where Oregon sits
The same service costs 9.8 times more in Alaska than in Kentucky. 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· 3rd of 51
$3,311
AK $4,898KY $501
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.