How much rates vary
Facilitymedian $589 · 10th to 90th $347 to $1,738Professionalmedian $490 · 10th to 90th $245 to $794
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 $338.84 Median $380.19 Typical High $478.63 | Professional | None | $338.84 | $380.19 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $660.69 | Facility | None | $302.00 | $380.19 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $457.09 Typical High $831.76 | Professional | None | $245.47 | $457.09 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $758.58 | Professional | None | $389.05 | $575.44 | $758.58 |
Moda Health Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $18,620.87 | Facility | None | $457.09 | $741.31 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $776.25 | Professional | None | $371.54 | $478.63 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $354.81 Median $588.84 Typical High $616.60 | Facility | None | $354.81 | $588.84 | $616.60 |
Providence Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $794.33 | Facility | None | $309.03 | $457.09 | $794.33 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $478.63 Typical High $812.83 | Professional | None | $79.43 | $478.63 | $812.83 |
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 $467.74 Median $588.84 Typical High $676.08 | Professional | None | $467.74 | $588.84 | $676.08 |
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 $380.19 Median $537.03 Typical High $870.96 | Professional | None | $380.19 | $537.03 | $870.96 |
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 $186.21 Median $190.55 Typical High $239.88 | Professional | 52 · Reduced service | $186.21 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $75.86 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $288.40 Typical High $363.08 | Professional | 54 · Surgery only | $275.42 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $57.54 Typical High $72.44 | Professional | 55 · Aftercare only | $56.23 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.02 Typical High $47.86 | Professional | 56 · Pre-op care only | $37.15 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $269.15 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $257.04 | $269.15 | $338.84 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $190.55 | $239.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $75.86 | $95.50 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $363.08 | Professional | 54 · Surgery only | $288.40 | $288.40 | $363.08 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $72.44 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $47.86 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $338.84 |
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 5.2 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
$513
AK $1,000UT $191
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.