How much rates vary
Facilitymedian $631 · 10th to 90th $380 to $1,660Professionalmedian $562 · 10th to 90th $275 to $912
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 $602.56 Median $5,623.41 Typical High $8,709.64 | Facility | None | $602.56 | $5,623.41 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $489.78 Typical High $645.65 | Professional | None | $288.40 | $489.78 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $912.01 | Facility | None | $489.78 | $616.60 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $524.81 Typical High $954.99 | Professional | None | $257.04 | $524.81 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $812.83 | Professional | None | $524.81 | $660.69 | $812.83 |
Moda Health Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $7,943.28 | Facility | None | $524.81 | $851.14 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $933.25 | Professional | None | $295.12 | $524.81 | $933.25 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $660.69 | Facility | None | $371.54 | $616.60 | $660.69 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $645.65 Typical High $912.01 | Facility | None | $489.78 | $645.65 | $912.01 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $575.44 Typical High $912.01 | Professional | None | $79.43 | $575.44 | $912.01 |
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 $588.84 Median $630.96 Typical High $812.83 | Professional | None | $588.84 | $630.96 | $812.83 |
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 $446.68 Median $588.84 Typical High $1,071.52 | Professional | None | $446.68 | $588.84 | $1,071.52 |
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 $213.80 Median $239.88 Typical High $263.03 | Professional | 52 · Reduced service | $213.80 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $104.71 | Professional | 53 · Discontinued | $87.10 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $363.08 Typical High $389.05 | Professional | 54 · Surgery only | $251.19 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $72.44 Typical High $79.43 | Professional | 55 · Aftercare only | $64.57 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $48.98 Typical High $52.48 | Professional | 56 · Pre-op care only | $42.66 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $338.84 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $302.00 | $338.84 | $363.08 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $263.03 | Professional | 52 · Reduced service | $239.88 | $239.88 | $263.03 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | 53 · Discontinued | $97.72 | $97.72 | $104.71 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | 54 · Surgery only | $363.08 | $363.08 | $389.05 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $79.43 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $52.48 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $52.48 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $338.84 | $363.08 | $363.08 |
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 5.8 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
$589
AK $1,259UT $219
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.