How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,514 to $13,183Professionalmedian $2,455 · 10th to 90th $1,175 to $3,802
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 $13,489.63 Typical High $33,884.42 | Facility | None | $5,128.61 | $13,489.63 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $5,623.41 Typical High $7,762.47 | Facility | None | $1,949.84 | $5,623.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,344.23 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,238.72 | $2,570.40 | $3,162.28 |
Moda Health Setting Facility Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $33,884.42 | Facility | None | $1,905.46 | $3,548.13 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,905.46 | $2,041.74 | $3,388.44 |
Pacific Source Setting Facility Modifier None Typical Low $1,445.44 Median $2,398.83 Typical High $2,570.40 | Facility | None | $1,445.44 | $2,398.83 | $2,570.40 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $5,128.61 Typical High $7,762.47 | Facility | None | $1,819.70 | $5,128.61 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,344.23 Typical High $3,715.35 | Professional | None | $79.43 | $2,344.23 | $3,715.35 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $20,417.38 Typical High $23,442.29 | Facility | None | $14,454.40 | $20,417.38 | $23,442.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $3,890.45 | Professional | None | $2,454.71 | $2,570.40 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,630.27 | $4,466.84 |
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 $724.44 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $724.44 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $288.40 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,096.48 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $218.78 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $144.54 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,348.96 | $1,348.96 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,445.44 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $190.55 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,348.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $21,877.62 Median $30,199.52 Typical High $34,673.69 | Facility | 50 · Both sides | $21,877.62 | $30,199.52 | $34,673.69 |
Where Oregon sits
The same service costs 6.2 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· 13th of 51
$2,455
AK $5,248UT $851
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.