How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,259 to $7,943Professionalmedian $1,950 · 10th to 90th $1,072 to $2,884
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 $9,549.93 Typical High $17,378.01 | Facility | None | $5,128.61 | $9,549.93 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $3,162.28 | Facility | None | $1,905.46 | $2,454.71 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,122.02 | $1,737.80 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,819.70 | $2,137.96 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $17,378.01 | Facility | None | $2,137.96 | $2,884.03 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,479.11 | $1,621.81 | $2,398.83 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $2,137.96 | Facility | None | $1,230.27 | $2,041.74 | $2,137.96 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,388.44 | Facility | None | $1,819.70 | $2,511.89 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,949.84 Typical High $2,884.03 | Professional | None | $79.43 | $1,949.84 | $2,884.03 |
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 $2,041.74 Median $2,137.96 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,137.96 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,302.69 | Facility | None | $1,230.27 | $1,862.09 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $3,090.30 | Professional | None | $1,380.38 | $1,905.46 | $3,090.30 |
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 $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $912.01 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $851.14 | $1,047.13 | $1,047.13 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,122.02 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,047.13 |
Where Oregon sits
The same service costs 3.6 times more in Wisconsin 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
WI $8,126KY $2,271
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.