How much rates vary
Facilitymedian $562 · 10th to 90th $347 to $1,660Professionalmedian $468 · 10th to 90th $234 to $759
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 $245.47 Median $363.08 Typical High $537.03 | Professional | None | $245.47 | $363.08 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $660.69 | Facility | None | $316.23 | $398.11 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $812.83 | Professional | None | $234.42 | $436.52 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $724.44 | Professional | None | $380.19 | $562.34 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $6,606.93 | Facility | None | $467.74 | $676.08 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $741.31 | Professional | None | $269.15 | $416.87 | $741.31 |
Pacific Source Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $602.56 | Facility | None | $354.81 | $562.34 | $602.56 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $776.25 | Facility | None | $331.13 | $501.19 | $776.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $501.19 Typical High $794.33 | Professional | None | $79.43 | $501.19 | $794.33 |
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 $446.68 Median $575.44 Typical High $691.83 | Professional | None | $446.68 | $575.44 | $691.83 |
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 $371.54 Median $512.86 Typical High $831.76 | Professional | None | $371.54 | $512.86 | $831.76 |
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 $177.83 Median $181.97 Typical High $234.42 | Professional | 52 · Reduced service | $177.83 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $72.44 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $72.44 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $275.42 Typical High $354.81 | Professional | 54 · Surgery only | $269.15 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $54.95 Typical High $70.79 | Professional | 55 · Aftercare only | $53.70 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $36.31 Typical High $46.77 | Professional | 56 · Pre-op care only | $35.48 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $257.04 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $251.19 | $257.04 | $331.13 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $181.97 Typical High $234.42 | Professional | 52 · Reduced service | $181.97 | $181.97 | $234.42 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | 53 · Discontinued | $72.44 | $72.44 | $95.50 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $354.81 | Professional | 54 · Surgery only | $275.42 | $275.42 | $354.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $70.79 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $46.77 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $257.04 | $257.04 | $331.13 |
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 4.2 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· 6th of 51
$501
AK $955UT $229
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.