How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,148 to $8,318Professionalmedian $1,778 · 10th to 90th $759 to $2,951
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 $1,148.15 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $3,235.94 Typical High $4,466.84 | Facility | None | $1,000.00 | $3,235.94 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,737.80 Typical High $3,019.95 | Professional | None | $758.58 | $1,737.80 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,949.84 Typical High $2,344.23 | Professional | None | $912.01 | $1,949.84 | $2,344.23 |
Moda Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,754.23 Typical High $17,378.01 | Facility | None | $1,584.89 | $2,754.23 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $3,311.31 | Professional | None | $1,380.38 | $1,621.81 | $3,311.31 |
Pacific Source Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,041.74 | Facility | None | $1,148.15 | $1,862.09 | $2,041.74 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $2,951.21 Typical High $4,466.84 | Facility | None | $1,023.29 | $2,951.21 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,737.80 Typical High $2,951.21 | Professional | None | $79.43 | $1,737.80 | $2,951.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $13,182.57 Typical High $15,135.61 | Facility | None | $9,332.54 | $13,182.57 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,949.84 | $2,089.30 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,380.38 | $1,819.70 | $3,388.44 |
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 $676.08 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $676.08 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $269.15 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,023.29 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $204.17 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $134.90 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $954.99 | $1,122.02 | $1,122.02 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $794.33 | $812.83 | $812.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $316.23 | $323.59 | $323.59 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,174.90 | $1,202.26 | $1,202.26 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $239.88 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $158.49 | $162.18 | $162.18 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,122.02 | $1,122.02 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,803.84 Median $19,952.62 Typical High $22,387.21 | Facility | 50 · Both sides | $13,803.84 | $19,952.62 | $22,387.21 |
Where Oregon sits
The same service costs 7.2 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· 10th of 51
$1,905
AK $4,266UT $589
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.