How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,259 to $12,303Professionalmedian $1,778 · 10th to 90th $851 to $2,692
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 $1,047.13 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,047.13 | $1,380.38 | $1,380.38 |
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 $1,230.27 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,659.59 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,548.82 | $1,778.28 | $2,187.76 |
Moda Health Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $33,884.42 | Facility | None | $1,513.56 | $2,570.40 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $2,454.71 | Professional | None | $1,348.96 | $1,412.54 | $2,454.71 |
Pacific Source Setting Facility Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $1,862.09 | Facility | None | $1,047.13 | $1,737.80 | $1,862.09 |
Providence Setting Facility Modifier None Typical Low $1,621.81 Median $5,248.07 Typical High $7,762.47 | Facility | None | $1,621.81 | $5,248.07 | $7,762.47 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,698.24 Typical High $2,691.53 | Professional | None | $79.43 | $1,698.24 | $2,691.53 |
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 $1,778.28 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,778.28 | $1,862.09 | $2,754.23 |
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 $1,318.26 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,949.84 | $3,162.28 |
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 $524.81 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $524.81 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $208.93 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $794.33 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $104.71 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $741.31 | $954.99 | $954.99 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $691.83 | $691.83 | $691.83 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,023.29 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $204.17 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $138.04 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $954.99 |
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 7.2 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· 11th of 51
$1,778
AK $3,715TX $513
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.