How much rates vary
Facilitymedian $3,631 · 10th to 90th $2,138 to $10,000Professionalmedian $3,548 · 10th to 90th $1,738 to $5,495
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 $11,748.98 Typical High $24,547.09 | Facility | None | $5,128.61 | $11,748.98 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $5,623.41 Typical High $7,762.47 | Facility | None | $870.96 | $5,623.41 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $5,128.61 | Professional | None | $2,570.40 | $3,311.31 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $4,265.80 | Professional | None | $3,019.95 | $3,548.13 | $4,265.80 |
Moda Health Setting Facility Modifier None Typical Low $2,754.23 Median $5,248.07 Typical High $24,547.09 | Facility | None | $2,754.23 | $5,248.07 | $24,547.09 |
Moda Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $4,897.79 | Professional | None | $2,691.53 | $2,818.38 | $4,897.79 |
Pacific Source Setting Facility Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $3,801.89 | Facility | None | $2,137.96 | $3,548.13 | $3,801.89 |
Providence Setting Facility Modifier None Typical Low $1,047.13 Median $5,248.07 Typical High $7,244.36 | Facility | None | $1,047.13 | $5,248.07 | $7,244.36 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,548.13 Typical High $5,495.41 | Professional | None | $79.43 | $3,548.13 | $5,495.41 |
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 $3,548.13 Median $3,801.89 Typical High $5,623.41 | Professional | None | $3,548.13 | $3,801.89 | $5,623.41 |
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 $2,691.53 Median $3,981.07 Typical High $6,456.54 | Professional | None | $2,691.53 | $3,981.07 | $6,456.54 |
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 $1,096.48 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,096.48 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $436.52 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $2,041.74 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,621.81 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $323.59 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $218.78 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,905.46 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,905.46 | $1,905.46 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,348.96 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $549.54 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,041.74 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $1,905.46 |
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 6.9 times more in Alaska than in Texas. 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· 9th of 51
$3,548
AK $7,586TX $1,096
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.