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 $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 $2,290.87 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,290.87 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,318.26 | $1,737.80 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $5,128.61 | Professional | None | $1,905.46 | $2,951.21 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,715.35 Median $4,466.84 Typical High $5,623.41 | Professional | None | $3,715.35 | $4,466.84 | $5,623.41 |
Moda Health Setting Facility Modifier None Typical Low $3,548.13 Median $5,754.40 Typical High $17,378.01 | Facility | None | $3,548.13 | $5,754.40 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $4,466.84 | Professional | None | $2,511.89 | $3,090.30 | $4,466.84 |
Pacific Source Setting Facility Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $3,981.07 | Facility | None | $2,290.87 | $3,388.44 | $3,981.07 |
Providence Setting Facility Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $5,248.07 | Facility | None | $1,412.54 | $1,862.09 | $5,248.07 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,467.37 Typical High $5,128.61 | Professional | None | $79.43 | $3,467.37 | $5,128.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $6,309.57 | Facility | None | $4,073.80 | $5,623.41 | $6,309.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,388.44 Median $3,548.13 Typical High $4,677.35 | Professional | None | $3,388.44 | $3,548.13 | $4,677.35 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $5,754.40 | Professional | None | $2,290.87 | $3,548.13 | $5,754.40 |
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 $1,513.56 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,513.56 | $2,344.23 | $2,344.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,344.23 |
Where Oregon sits
The same service costs 4.8 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.
Oregon· 10th of 51
$3,388
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.