How much rates vary
Facilitymedian $912 · 10th to 90th $661 to $7,762Professionalmedian $851 · 10th to 90th $447 to $1,288
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 $436.52 Median $645.65 Typical High $645.65 | Professional | None | $436.52 | $645.65 | $645.65 |
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 $489.78 Median $776.25 Typical High $1,288.25 | Professional | None | $489.78 | $776.25 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,230.27 | Professional | None | $851.14 | $1,000.00 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $17,378.01 | Facility | None | $933.25 | $1,288.25 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $1,202.26 | Professional | None | $478.63 | $645.65 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $954.99 | Facility | None | $549.54 | $912.01 | $954.99 |
Providence Setting Facility Modifier None Typical Low $977.24 Median $2,344.23 Typical High $3,388.44 | Facility | None | $977.24 | $2,344.23 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $870.96 Typical High $1,288.25 | Professional | None | $79.43 | $870.96 | $1,288.25 |
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 $912.01 Median $954.99 Typical High $1,230.27 | Professional | None | $912.01 | $954.99 | $1,230.27 |
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 $616.60 Median $831.76 Typical High $1,380.38 | Professional | None | $616.60 | $831.76 | $1,380.38 |
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 $398.11 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $398.11 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $371.54 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $457.09 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,471.29 Median $14,791.08 Typical High $16,982.44 | Facility | 50 · Both sides | $10,471.29 | $14,791.08 | $16,982.44 |
Where Oregon sits
The same service costs 4.4 times more in Colorado than in Montana. 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 $6,812MT $1,536
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.