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 $2,818.38 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,818.38 | $3,019.95 | $3,019.95 |
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 $2,290.87 Median $3,630.78 Typical High $6,025.60 | Professional | None | $2,290.87 | $3,630.78 | $6,025.60 |
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 $3,311.31 Median $5,623.41 Typical High $33,884.42 | Facility | None | $3,311.31 | $5,623.41 | $33,884.42 |
Moda Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $5,128.61 | Professional | None | $3,019.95 | $3,388.44 | $5,128.61 |
Pacific Source Setting Facility Modifier None Typical Low $2,630.27 Median $3,981.07 Typical High $4,570.88 | Facility | None | $2,630.27 | $3,981.07 | $4,570.88 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $6,309.57 Typical High $8,912.51 | Facility | None | $1,023.29 | $6,309.57 | $8,912.51 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,890.45 Typical High $6,025.60 | Professional | None | $79.43 | $3,890.45 | $6,025.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,489.63 Median $41,686.94 Typical High $57,543.99 | Facility | None | $13,489.63 | $41,686.94 | $57,543.99 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,365.16 Median $4,570.88 Typical High $6,025.60 | Professional | None | $4,365.16 | $4,570.88 | $6,025.60 |
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 $2,570.40 Median $4,073.80 Typical High $6,760.83 | Professional | None | $2,570.40 | $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 $1,905.46 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,905.46 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,137.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,137.96 | $2,137.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $2,290.87 | $2,290.87 | $2,290.87 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,137.96 | $2,137.96 |
Where Oregon sits
The same service costs 9.1 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· 10th of 51
$4,074
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.