How much rates vary
Facilitymedian $1,000 · 10th to 90th $575 to $2,089Professionalmedian $933 · 10th to 90th $479 to $1,585
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 $776.25 Median $831.76 Typical High $1,023.29 | Professional | None | $776.25 | $831.76 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $776.25 | Facility | None | $489.78 | $616.60 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $870.96 Typical High $1,513.56 | Professional | None | $416.87 | $870.96 | $1,513.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,288.25 | Professional | None | $812.83 | $1,047.13 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $1,412.54 Typical High $7,943.28 | Facility | None | $851.14 | $1,412.54 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $1,584.89 | Professional | None | $776.25 | $831.76 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,202.26 | Facility | None | $707.95 | $1,023.29 | $1,202.26 |
Providence Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $1,659.59 | Facility | None | $501.19 | $707.95 | $1,659.59 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $977.24 Typical High $1,698.24 | Professional | None | $79.43 | $977.24 | $1,698.24 |
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 $1,380.38 | Professional | None | $933.25 | $1,000.00 | $1,380.38 |
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 $776.25 Median $977.24 Typical High $1,698.24 | Professional | None | $776.25 | $977.24 | $1,698.24 |
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 $380.19 Median $416.87 Typical High $436.52 | Professional | 52 · Reduced service | $380.19 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $165.96 Typical High $173.78 | Professional | 53 · Discontinued | $154.88 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $616.60 Typical High $660.69 | Professional | 54 · Surgery only | $575.44 | $616.60 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $131.83 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $83.18 Typical High $87.10 | Professional | 56 · Pre-op care only | $77.62 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $575.44 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $537.03 | $575.44 | $616.60 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $407.38 Typical High $416.87 | Professional | 52 · Reduced service | $380.19 | $407.38 | $416.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $162.18 Typical High $165.96 | Professional | 53 · Discontinued | $154.88 | $162.18 | $165.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $602.56 Typical High $616.60 | Professional | 54 · Surgery only | $575.44 | $602.56 | $616.60 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $123.03 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $81.28 Typical High $83.18 | Professional | 56 · Pre-op care only | $77.62 | $81.28 | $83.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $562.34 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $537.03 | $562.34 | $575.44 |
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· 9th of 51
$977
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.