How much rates vary
Facilitymedian $977 · 10th to 90th $575 to $1,660Professionalmedian $912 · 10th to 90th $501 to $1,413
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 $537.03 Median $776.25 Typical High $954.99 | Professional | None | $537.03 | $776.25 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $758.58 | Facility | None | $478.63 | $602.56 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $831.76 Typical High $1,445.44 | Professional | None | $407.38 | $831.76 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,258.93 | Professional | None | $812.83 | $1,047.13 | $1,258.93 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $1,348.96 Typical High $15,848.93 | Facility | None | $794.33 | $1,348.96 | $15,848.93 |
Moda Health Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,288.25 | Professional | None | $575.44 | $794.33 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $616.60 Median $977.24 Typical High $1,047.13 | Facility | None | $616.60 | $977.24 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $707.95 Typical High $1,412.54 | Facility | None | $489.78 | $707.95 | $1,412.54 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $954.99 Typical High $1,445.44 | Professional | None | $79.43 | $954.99 | $1,445.44 |
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 $933.25 Median $1,000.00 Typical High $1,258.93 | Professional | None | $933.25 | $1,000.00 | $1,258.93 |
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 $741.31 Median $954.99 Typical High $1,659.59 | Professional | None | $741.31 | $954.99 | $1,659.59 |
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 $354.81 Median $380.19 Typical High $398.11 | Professional | 52 · Reduced service | $354.81 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $154.88 Typical High $158.49 | Professional | 53 · Discontinued | $141.25 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $575.44 Typical High $602.56 | Professional | 54 · Surgery only | $524.81 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $114.82 Typical High $120.23 | Professional | 55 · Aftercare only | $104.71 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $77.62 Typical High $79.43 | Professional | 56 · Pre-op care only | $70.79 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $537.03 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $489.78 | $537.03 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | 52 · Reduced service | $380.19 | $380.19 | $398.11 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 53 · Discontinued | $154.88 | $154.88 | $158.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $602.56 | Professional | 54 · Surgery only | $575.44 | $575.44 | $602.56 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $120.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $79.43 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $562.34 |
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 6.2 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
$933
AK $1,995UT $324
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.