How much rates vary
Facilitymedian $468 · 10th to 90th $282 to $1,514Professionalmedian $398 · 10th to 90th $257 to $661
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 $389.05 Median $5,623.41 Typical High $8,709.64 | Facility | None | $389.05 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $467.74 | Professional | None | $257.04 | $316.23 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $660.69 | Facility | None | $229.09 | $288.40 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $676.08 | Professional | None | $234.42 | $371.54 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $588.84 | Professional | None | $323.59 | $457.09 | $588.84 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $7,943.28 | Facility | None | $389.05 | $588.84 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $616.60 | Professional | None | $257.04 | $380.19 | $616.60 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $512.86 | Facility | None | $281.84 | $467.74 | $512.86 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $380.19 Typical High $831.76 | Facility | None | $239.88 | $380.19 | $831.76 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $416.87 Typical High $660.69 | Professional | None | $79.43 | $416.87 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $2,290.87 | Facility | None | $1,513.56 | $2,041.74 | $2,290.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $562.34 | Professional | None | $389.05 | $467.74 | $562.34 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,630.78 | Facility | None | $354.81 | $660.69 | $3,630.78 |
United Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $724.44 | Professional | None | $323.59 | $457.09 | $724.44 |
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 $154.88 Median $158.49 Typical High $190.55 | Professional | 52 · Reduced service | $154.88 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $234.42 Typical High $288.40 | Professional | 54 · Surgery only | $223.87 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $46.77 Typical High $57.54 | Professional | 55 · Aftercare only | $45.71 | $46.77 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $31.62 Typical High $38.02 | Professional | 56 · Pre-op care only | $30.90 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $218.78 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $213.80 | $218.78 | $269.15 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | 52 · Reduced service | $158.49 | $158.49 | $190.55 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $63.10 | $77.62 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $288.40 | Professional | 54 · Surgery only | $234.42 | $234.42 | $288.40 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $57.54 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $38.02 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $38.02 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $218.78 | $218.78 | $269.15 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $2,238.72 Median $3,019.95 Typical High $3,388.44 | Facility | 50 · Both sides | $2,238.72 | $3,019.95 | $3,388.44 |
Where Oregon sits
The same service costs 4.0 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
$417
AK $813UT $204
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.