How much rates vary
Facilitymedian $692 · 10th to 90th $427 to $5,129Professionalmedian $550 · 10th to 90th $288 to $912
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 $331.13 Median $363.08 Typical High $588.84 | Professional | None | $331.13 | $363.08 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $1,412.54 | Facility | None | $398.11 | $501.19 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $501.19 Typical High $1,000.00 | Professional | None | $245.47 | $501.19 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $912.01 | Professional | None | $371.54 | $537.03 | $912.01 |
Moda Health Setting Facility Modifier None Typical Low $501.19 Median $758.58 Typical High $7,943.28 | Facility | None | $501.19 | $758.58 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $776.25 | Professional | None | $346.74 | $588.84 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $741.31 | Facility | None | $416.87 | $691.83 | $741.31 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $575.44 Typical High $1,412.54 | Facility | None | $398.11 | $575.44 | $1,412.54 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $501.19 Typical High $891.25 | Professional | None | $79.43 | $501.19 | $891.25 |
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 $446.68 Median $645.65 Typical High $741.31 | Professional | None | $446.68 | $645.65 | $741.31 |
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 $380.19 Median $602.56 Typical High $1,023.29 | Professional | None | $380.19 | $602.56 | $1,023.29 |
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 $181.97 Median $181.97 Typical High $295.12 | Professional | 52 · Reduced service | $181.97 | $181.97 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $117.49 | Professional | 53 · Discontinued | $72.44 | $72.44 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $446.68 | Professional | 54 · Surgery only | $269.15 | $269.15 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $89.13 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $251.19 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $251.19 | $251.19 | $416.87 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $204.17 Typical High $295.12 | Professional | 52 · Reduced service | $181.97 | $204.17 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $81.28 Typical High $117.49 | Professional | 53 · Discontinued | $72.44 | $81.28 | $117.49 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $309.03 Typical High $446.68 | Professional | 54 · Surgery only | $269.15 | $309.03 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $61.66 Typical High $89.13 | Professional | 55 · Aftercare only | $54.95 | $61.66 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $40.74 Typical High $58.88 | Professional | 56 · Pre-op care only | $36.31 | $40.74 | $58.88 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $288.40 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $251.19 | $288.40 | $416.87 |
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 3.9 times more in Wyoming 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
$603
WY $1,096UT $282
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.