How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,000 to $2,399Professionalmedian $1,479 · 10th to 90th $692 to $2,399
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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,258.93 Typical High $1,380.38 | Professional | None | $741.31 | $1,258.93 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,380.38 | Facility | None | $691.83 | $1,023.29 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,380.38 Typical High $2,511.89 | Professional | None | $676.08 | $1,380.38 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,698.24 | $2,137.96 |
Moda Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $7,943.28 | Facility | None | $1,380.38 | $1,949.84 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $1,348.96 Typical High $2,290.87 | Professional | None | $812.83 | $1,348.96 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $1,778.28 | Facility | None | $1,023.29 | $1,621.81 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $1,202.26 Typical High $2,137.96 | Facility | None | $831.76 | $1,202.26 | $2,137.96 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,479.11 Typical High $2,398.83 | Professional | None | $79.43 | $1,479.11 | $2,398.83 |
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 $1,548.82 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,548.82 | $1,698.24 | $2,187.76 |
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 $1,174.90 Median $1,548.82 Typical High $2,754.23 | Professional | None | $1,174.90 | $1,548.82 | $2,754.23 |
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 $575.44 Median $630.96 Typical High $691.83 | Professional | 52 · Reduced service | $575.44 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $251.19 Typical High $275.42 | Professional | 53 · Discontinued | $229.09 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $851.14 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $186.21 Typical High $208.93 | Professional | 55 · Aftercare only | $169.82 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $125.89 Typical High $138.04 | Professional | 56 · Pre-op care only | $114.82 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $870.96 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $794.33 | $870.96 | $977.24 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | 52 · Reduced service | $630.96 | $630.96 | $691.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | 53 · Discontinued | $251.19 | $251.19 | $275.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,047.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $208.93 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $138.04 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $977.24 |
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 5.4 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
$1,479
AK $3,236UT $603
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.