How much rates vary
Facilitymedian $4,571 · 10th to 90th $2,818 to $8,511Professionalmedian $4,365 · 10th to 90th $2,344 to $6,457
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 $11,748.98 Typical High $24,547.09 | Facility | None | $5,128.61 | $11,748.98 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,454.71 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $6,918.31 Typical High $9,549.93 | Facility | None | $870.96 | $6,918.31 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $6,456.54 | Professional | None | $2,454.71 | $3,890.45 | $6,456.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $5,754.40 | Professional | None | $4,073.80 | $4,786.30 | $5,754.40 |
Moda Health Setting Facility Modifier None Typical Low $4,168.69 Median $6,606.93 Typical High $24,547.09 | Facility | None | $4,168.69 | $6,606.93 | $24,547.09 |
Moda Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $5,370.32 | Professional | None | $3,235.94 | $3,630.78 | $5,370.32 |
Pacific Source Setting Facility Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $4,897.79 | Facility | None | $2,818.38 | $4,570.88 | $4,897.79 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $6,456.54 Typical High $8,912.51 | Facility | None | $1,023.29 | $6,456.54 | $8,912.51 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $4,466.84 Typical High $6,456.54 | Professional | None | $79.43 | $4,466.84 | $6,456.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $21,379.62 Typical High $29,512.09 | Facility | None | $9,332.54 | $21,379.62 | $29,512.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,570.88 Median $4,897.79 Typical High $6,309.57 | Professional | None | $4,570.88 | $4,897.79 | $6,309.57 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $7,079.46 | Professional | None | $2,754.23 | $4,365.16 | $7,079.46 |
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 $2,041.74 Median $2,454.71 Typical High $2,454.71 | Professional | 54 · Surgery only | $2,041.74 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,290.87 | $2,290.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | 54 · Surgery only | $2,454.71 | $2,454.71 | $2,454.71 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $2,290.87 | $2,290.87 | $2,290.87 |
Where Oregon sits
The same service costs 4.0 times more in Alaska 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
AK $19,545KY $4,915
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.