How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,148 to $6,026Professionalmedian $1,698 · 10th to 90th $759 to $2,754
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 $11,748.98 Typical High $24,547.09 | Facility | None | $5,128.61 | $11,748.98 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,513.56 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $3,235.94 | Facility | None | $1,380.38 | $2,398.83 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,621.81 Typical High $2,818.38 | Professional | None | $758.58 | $1,621.81 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,819.70 Typical High $2,137.96 | Professional | None | $831.76 | $1,819.70 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $24,547.09 | Facility | None | $1,548.82 | $2,570.40 | $24,547.09 |
Moda Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $3,090.30 | Professional | None | $1,318.26 | $1,548.82 | $3,090.30 |
Pacific Source Setting Facility Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $1,949.84 | Facility | None | $1,122.02 | $1,819.70 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $3,388.44 | Facility | None | $1,380.38 | $2,290.87 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,621.81 Typical High $2,754.23 | Professional | None | $79.43 | $1,621.81 | $2,754.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $8,128.31 Typical High $9,332.54 | Facility | None | $6,025.60 | $8,128.31 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,862.09 | $1,995.26 | $2,398.83 |
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 $1,318.26 Median $1,819.70 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,819.70 | $3,162.28 |
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 $630.96 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $630.96 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $251.19 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $954.99 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $125.89 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $891.25 | $1,071.52 | $1,071.52 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $302.00 | $309.03 | $309.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,122.02 | $1,148.15 | $1,148.15 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $223.87 | $229.09 | $229.09 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $151.36 | $154.88 | $154.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,071.52 | $1,071.52 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,120.11 Median $12,022.64 Typical High $13,803.84 | Facility | 50 · Both sides | $9,120.11 | $12,022.64 | $13,803.84 |
Where Oregon sits
The same service costs 7.2 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· 7th of 51
$1,820
AK $3,981UT $550
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.