How much rates vary
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 $295.12 Median $524.81 Typical High $933.25 | Professional | None | $295.12 | $524.81 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $776.25 Typical High $1,047.13 | Facility | None | $616.60 | $776.25 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $891.25 Typical High $1,737.80 | Professional | None | $457.09 | $891.25 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,513.56 | Professional | None | $489.78 | $645.65 | $1,513.56 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $1,318.26 Typical High $8,709.64 | Facility | None | $630.96 | $1,318.26 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $346.74 Median $645.65 Typical High $1,122.02 | Professional | None | $346.74 | $645.65 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $1,258.93 | Facility | None | $707.95 | $1,174.90 | $1,258.93 |
Providence Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $1,479.11 | Facility | None | $524.81 | $812.83 | $1,479.11 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $812.83 Typical High $1,621.81 | Professional | None | $79.43 | $812.83 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $2,511.89 | Facility | None | $1,479.11 | $2,137.96 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $1,023.29 Typical High $1,288.25 | Professional | None | $602.56 | $1,023.29 | $1,288.25 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $501.19 Median $891.25 Typical High $1,737.80 | Professional | None | $501.19 | $891.25 | $1,737.80 |
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 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $691.83 | Professional | 54 · Surgery only | $331.13 | $331.13 | $691.83 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $691.83 | Professional | 54 · Surgery only | $331.13 | $331.13 | $691.83 |
Where Oregon sits
The same service costs 3.1 times more in Alaska than in Maryland. 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· 4th of 51
$891
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.