How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,202 to $6,026Professionalmedian $1,995 · 10th to 90th $1,072 to $3,090
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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $3,162.28 | Facility | None | $1,584.89 | $2,398.83 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,412.54 | $1,862.09 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,511.89 | Professional | None | $1,819.70 | $2,089.30 | $2,511.89 |
Moda Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $8,709.64 | Facility | None | $2,041.74 | $2,884.03 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $2,884.03 | Professional | None | $1,445.44 | $1,621.81 | $2,884.03 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,230.27 | $1,995.26 | $2,137.96 |
Providence Setting Facility Modifier None Typical Low $1,584.89 Median $2,454.71 Typical High $3,388.44 | Facility | None | $1,584.89 | $2,454.71 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,949.84 Typical High $3,019.95 | Professional | None | $79.43 | $1,949.84 | $3,019.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $9,772.37 Typical High $11,220.18 | Facility | None | $6,918.31 | $9,772.37 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $3,162.28 | Professional | None | $1,995.26 | $2,137.96 | $3,162.28 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,548.82 | $2,238.72 | $3,630.78 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
Where Oregon sits
The same service costs 3.4 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 $7,428KY $2,193
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.