How much rates vary
Facilitymedian $891 · 10th to 90th $537 to $5,754Professionalmedian $661 · 10th to 90th $339 to $1,148
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $776.25 | Professional | None | $331.13 | $478.63 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $2,754.23 | Facility | None | $1,000.00 | $2,089.30 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $676.08 Typical High $1,288.25 | Professional | None | $316.23 | $676.08 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $1,174.90 | Professional | None | $524.81 | $776.25 | $1,174.90 |
Moda Health Setting Facility Modifier None Typical Low $562.34 Median $851.14 Typical High $13,182.57 | Facility | None | $562.34 | $851.14 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $1,000.00 | Professional | None | $398.11 | $588.84 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $537.03 Median $870.96 Typical High $954.99 | Facility | None | $537.03 | $870.96 | $954.99 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,754.23 | Facility | None | $691.83 | $1,778.28 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $616.60 Typical High $1,148.15 | Professional | None | $79.43 | $616.60 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $8,128.31 Typical High $9,332.54 | Facility | None | $5,754.40 | $8,128.31 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $954.99 | Professional | None | $588.84 | $851.14 | $954.99 |
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 $467.74 Median $794.33 Typical High $1,318.26 | Professional | None | $467.74 | $794.33 | $1,318.26 |
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 $234.42 Median $239.88 Typical High $389.05 | Professional | 52 · Reduced service | $234.42 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $154.88 | Professional | 53 · Discontinued | $95.50 | $95.50 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $363.08 Typical High $575.44 | Professional | 54 · Surgery only | $354.81 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $72.44 Typical High $117.49 | Professional | 55 · Aftercare only | $70.79 | $72.44 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $338.84 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $331.13 | $338.84 | $537.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $263.03 Typical High $389.05 | Professional | 52 · Reduced service | $239.88 | $263.03 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $107.15 Typical High $154.88 | Professional | 53 · Discontinued | $95.50 | $107.15 | $154.88 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $398.11 Typical High $575.44 | Professional | 54 · Surgery only | $363.08 | $398.11 | $575.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $79.43 Typical High $117.49 | Professional | 55 · Aftercare only | $72.44 | $79.43 | $117.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $53.70 Typical High $77.62 | Professional | 56 · Pre-op care only | $47.86 | $53.70 | $77.62 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $371.54 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $338.84 | $371.54 | $537.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,709.64 Median $12,302.69 Typical High $13,803.84 | Facility | 50 · Both sides | $8,709.64 | $12,302.69 | $13,803.84 |
Where Oregon sits
The same service costs 5.9 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
$776
AK $1,698UT $288
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.