How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,047 to $7,943Professionalmedian $1,349 · 10th to 90th $741 to $1,995
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 $1,258.93 Median $8,317.64 Typical High $17,378.01 | Facility | None | $1,258.93 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,096.48 | Professional | None | $758.58 | $1,023.29 | $1,096.48 |
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 $758.58 Median $1,202.26 Typical High $1,995.26 | Professional | None | $758.58 | $1,202.26 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,513.56 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $17,378.01 | Facility | None | $1,258.93 | $2,041.74 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,698.24 | Professional | None | $912.01 | $1,122.02 | $1,698.24 |
Pacific Source Setting Facility Modifier None Typical Low $851.14 Median $1,445.44 Typical High $1,479.11 | Facility | None | $851.14 | $1,445.44 | $1,479.11 |
Providence Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $3,388.44 | Facility | None | $1,445.44 | $2,344.23 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,380.38 Typical High $2,041.74 | Professional | None | $79.43 | $1,380.38 | $2,041.74 |
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 $1,412.54 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,412.54 | $1,479.11 | $1,949.84 |
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 $977.24 Median $1,348.96 Typical High $2,187.76 | Professional | None | $977.24 | $1,348.96 | $2,187.76 |
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 $630.96 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $630.96 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $588.84 | $707.95 | $707.95 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
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 3.5 times more in Wisconsin than in Maryland. 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 $7,315MD $2,090
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.