How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,202 to $8,710Professionalmedian $1,585 · 10th to 90th $891 to $2,399
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 $912.01 Median $1,230.27 Typical High $1,230.27 | Professional | None | $912.01 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $6,918.31 Typical High $9,549.93 | Facility | None | $2,398.83 | $6,918.31 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $2,454.71 | Professional | None | $933.25 | $1,445.44 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,513.56 | $1,778.28 | $2,187.76 |
Moda Health Setting Facility Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $8,709.64 | Facility | None | $1,778.28 | $2,290.87 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $2,041.74 | Professional | None | $1,230.27 | $1,348.96 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,047.13 | $1,659.59 | $1,778.28 |
Providence Setting Facility Modifier None Typical Low $1,778.28 Median $6,606.93 Typical High $9,549.93 | Facility | None | $1,778.28 | $6,606.93 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,584.89 Typical High $2,454.71 | Professional | None | $79.43 | $1,584.89 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $17,782.79 Median $25,118.86 Typical High $28,183.83 | Facility | None | $17,782.79 | $25,118.86 | $28,183.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,698.24 | $1,778.28 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $25,118.86 | Facility | None | $1,513.56 | $2,630.27 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,584.89 | $2,630.27 |
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 $758.58 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $707.95 | $870.96 | $870.96 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $26,915.35 Median $37,153.52 Typical High $42,657.95 | Facility | 50 · Both sides | $26,915.35 | $37,153.52 | $42,657.95 |
Where Oregon sits
The same service costs 5.7 times more in Colorado 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
CO $12,195KY $2,139
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.