How much rates vary
Facilitymedian $525 · 10th to 90th $316 to $2,570Professionalmedian $347 · 10th to 90th $174 to $646
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $446.68 | Professional | None | $173.78 | $239.88 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,380.38 | Facility | None | $707.95 | $1,047.13 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $331.13 Typical High $741.31 | Professional | None | $144.54 | $331.13 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $660.69 | Professional | None | $234.42 | $331.13 | $660.69 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $616.60 Typical High $7,943.28 | Facility | None | $281.84 | $616.60 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $588.84 | Professional | None | $204.17 | $363.08 | $588.84 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $537.03 | Facility | None | $309.03 | $501.19 | $537.03 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $912.01 Typical High $1,380.38 | Facility | None | $331.13 | $912.01 | $1,380.38 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $323.59 Typical High $645.65 | Professional | None | $79.43 | $323.59 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,398.83 Median $3,388.44 Typical High $3,801.89 | Facility | None | $2,398.83 | $3,388.44 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $263.03 Median $436.52 Typical High $537.03 | Professional | None | $263.03 | $436.52 | $537.03 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $6,918.31 | Facility | None | $602.56 | $1,000.00 | $6,918.31 |
United Setting Professional Modifier None Typical Low $218.78 Median $407.38 Typical High $741.31 | Professional | None | $218.78 | $407.38 | $741.31 |
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 $104.71 Median $125.89 Typical High $223.87 | Professional | 52 · Reduced service | $104.71 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $89.13 | Professional | 53 · Discontinued | $42.66 | $50.12 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $190.55 Typical High $331.13 | Professional | 54 · Surgery only | $158.49 | $190.55 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $38.02 Typical High $67.61 | Professional | 55 · Aftercare only | $31.62 | $38.02 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $25.12 Typical High $44.67 | Professional | 56 · Pre-op care only | $20.89 | $25.12 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $177.83 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $147.91 | $177.83 | $309.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $144.54 Typical High $223.87 | Professional | 52 · Reduced service | $104.71 | $144.54 | $223.87 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $58.88 Typical High $89.13 | Professional | 53 · Discontinued | $42.66 | $58.88 | $89.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $218.78 Typical High $331.13 | Professional | 54 · Surgery only | $158.49 | $218.78 | $331.13 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $43.65 Typical High $67.61 | Professional | 55 · Aftercare only | $31.62 | $43.65 | $67.61 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $29.51 Typical High $44.67 | Professional | 56 · Pre-op care only | $20.89 | $29.51 | $44.67 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $204.17 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $147.91 | $204.17 | $309.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $3,630.78 Median $5,128.61 Typical High $5,754.40 | Facility | 50 · Both sides | $3,630.78 | $5,128.61 | $5,754.40 |
Where Oregon sits
The same service costs 4.7 times more in Alaska than in Virginia. 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
$447
AK $851VA $182
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.