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 $15,488.17 Typical High $33,884.42 | Facility | None | $5,128.61 | $15,488.17 | $33,884.42 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,884.03 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $21,877.62 Typical High $30,199.52 | Facility | None | $870.96 | $21,877.62 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $6,165.95 | Professional | None | $2,344.23 | $3,715.35 | $6,165.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $5,888.44 | Professional | None | $4,073.80 | $4,786.30 | $5,888.44 |
Moda Health Setting Facility Modifier None Typical Low $4,073.80 Median $5,495.41 Typical High $33,884.42 | Facility | None | $4,073.80 | $5,495.41 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $5,248.07 | Professional | None | $3,090.30 | $3,311.31 | $5,248.07 |
Pacific Source Setting Facility Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $4,677.35 | Facility | None | $2,691.53 | $3,890.45 | $4,677.35 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $19,952.62 Typical High $28,183.83 | Facility | None | $1,023.29 | $19,952.62 | $28,183.83 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,981.07 Typical High $6,165.95 | Professional | None | $79.43 | $3,981.07 | $6,165.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $22,387.21 Median $42,657.95 Typical High $69,183.10 | Facility | None | $22,387.21 | $42,657.95 | $69,183.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,466.84 Median $4,677.35 Typical High $6,025.60 | Professional | None | $4,466.84 | $4,677.35 | $6,025.60 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $7,413.10 Typical High $50,118.72 | Facility | None | $2,951.21 | $7,413.10 | $50,118.72 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $6,760.83 | Professional | None | $2,630.27 | $4,073.80 | $6,760.83 |
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 $1,949.84 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,949.84 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,187.76 | $2,187.76 |
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 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,187.76 |
Where Oregon sits
The same service costs 8.1 times more in Alaska than in Texas. 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· 9th of 51
$4,266
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.