How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,514 to $36,308Professionalmedian $2,138 · 10th to 90th $1,175 to $3,162
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $33,884.42 Typical High $45,708.82 | Facility | None | $2,398.83 | $33,884.42 | $45,708.82 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,202.26 | $1,905.46 | $3,235.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,344.23 | $2,884.03 |
Moda Health Setting Facility Modifier None Typical Low $2,290.87 Median $3,090.30 Typical High $17,378.01 | Facility | None | $2,290.87 | $3,090.30 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,698.24 Typical High $2,754.23 | Professional | None | $1,659.59 | $1,698.24 | $2,754.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $2,344.23 | Facility | None | $1,380.38 | $2,290.87 | $2,344.23 |
Providence Setting Facility Modifier None Typical Low $2,187.76 Median $30,902.95 Typical High $42,657.95 | Facility | None | $2,187.76 | $30,902.95 | $42,657.95 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,137.96 Typical High $3,235.94 | Professional | None | $79.43 | $2,137.96 | $3,235.94 |
Regence BlueShield Setting Facility Modifier None Typical Low $47,863.01 Median $67,608.30 Typical High $91,201.08 | Facility | None | $47,863.01 | $67,608.30 | $91,201.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,344.23 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,380.38 | $2,137.96 | $3,548.13 |
4 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 $1,000.00 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,000.00 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $933.25 | $1,174.90 | $1,174.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,258.93 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,174.90 |
Where Oregon sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.