How much rates vary
Facilitymedian $1,349 · 10th to 90th $813 to $5,129Professionalmedian $1,230 · 10th to 90th $759 to $1,905
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 $562.34 Median $870.96 Typical High $977.24 | Professional | None | $562.34 | $870.96 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,137.96 Typical High $2,884.03 | Facility | None | $891.25 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,949.84 | Professional | None | $891.25 | $1,122.02 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,445.44 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,621.81 Typical High $8,709.64 | Facility | None | $977.24 | $1,621.81 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,548.82 | Professional | None | $870.96 | $1,071.52 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $1,412.54 | Facility | None | $812.83 | $1,318.26 | $1,412.54 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $1,905.46 Typical High $2,884.03 | Facility | None | $891.25 | $1,905.46 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,230.27 Typical High $1,905.46 | Professional | None | $79.43 | $1,230.27 | $1,905.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,786.30 Median $6,456.54 Typical High $7,413.10 | Facility | None | $4,786.30 | $6,456.54 | $7,413.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,737.80 | Professional | None | $1,230.27 | $1,348.96 | $1,737.80 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,238.72 | Professional | None | $912.01 | $1,258.93 | $2,238.72 |
2 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 78 · Unplanned return to OR Typical Low $389.05 Median $616.60 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $389.05 | $616.60 | $691.83 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $616.60 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $380.19 | $616.60 | $691.83 |
Where Oregon sits
The same service costs 4.0 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $5,661DE $1,425
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.