How much rates vary
Facilitymedian $447 · 10th to 90th $251 to $912Professionalmedian $407 · 10th to 90th $191 to $661
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 $194.98 Median $331.13 Typical High $371.54 | Professional | None | $194.98 | $331.13 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $660.69 | Facility | None | $223.87 | $281.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $371.54 Typical High $676.08 | Professional | None | $190.55 | $371.54 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $602.56 | Professional | None | $354.81 | $467.74 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $6,606.93 | Facility | None | $380.19 | $575.44 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $371.54 Typical High $588.84 | Professional | None | $251.19 | $371.54 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $489.78 | Facility | None | $275.42 | $446.68 | $489.78 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $371.54 Typical High $707.95 | Facility | None | $229.09 | $371.54 | $707.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $407.38 Typical High $645.65 | Professional | None | $79.43 | $407.38 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,202.26 | Facility | None | $812.83 | $1,023.29 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $588.84 | Professional | None | $407.38 | $467.74 | $588.84 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $316.23 Median $436.52 Typical High $758.58 | Professional | None | $316.23 | $436.52 | $758.58 |
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 $154.88 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $61.66 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $245.47 Typical High $281.84 | Professional | 54 · Surgery only | $234.42 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $46.77 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.11 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.90 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $229.09 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $218.78 | $229.09 | $263.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $165.96 | $165.96 | $186.21 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $66.07 | $66.07 | $74.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | 54 · Surgery only | $245.47 | $245.47 | $281.84 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $56.23 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $37.15 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $229.09 | $229.09 | $263.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,202.26 Median $1,548.82 Typical High $1,819.70 | Facility | 50 · Both sides | $1,202.26 | $1,548.82 | $1,819.70 |
Where Oregon sits
The same service costs 4.3 times more in Alaska than in Florida. 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
$407
AK $871FL $204
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.