How much rates vary
Facilitymedian $832 · 10th to 90th $603 to $6,166Professionalmedian $759 · 10th to 90th $398 to $1,175
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 $8,317.64 Typical High $17,378.01 | Facility | None | $5,128.61 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $645.65 | Professional | None | $398.11 | $588.84 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,398.83 | Facility | None | $1,122.02 | $1,513.56 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $1,174.90 | Professional | None | $446.68 | $707.95 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,096.48 | Professional | None | $758.58 | $891.25 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $7,943.28 Typical High $17,378.01 | Facility | None | $851.14 | $7,943.28 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $1,023.29 | Professional | None | $426.58 | $588.84 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $870.96 | Facility | None | $489.78 | $812.83 | $870.96 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $1,445.44 Typical High $2,691.53 | Facility | None | $851.14 | $1,445.44 | $2,691.53 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $776.25 Typical High $1,174.90 | Professional | None | $79.43 | $776.25 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $5,623.41 Typical High $6,456.54 | Facility | None | $4,073.80 | $5,623.41 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,122.02 | Professional | None | $831.76 | $870.96 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,022.64 | Facility | None | $1,230.27 | $1,862.09 | $12,022.64 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,258.93 | Professional | None | $549.54 | $758.58 | $1,258.93 |
5 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 $363.08 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $363.08 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $338.84 | $416.87 | $416.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $416.87 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,165.95 Median $8,511.38 Typical High $9,772.37 | Facility | 50 · Both sides | $6,165.95 | $8,511.38 | $9,772.37 |
Where Oregon sits
The same service costs 4.1 times more in Colorado than in West Virginia. 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
CO $5,160WV $1,245
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.