How much rates vary
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 $676.08 Median $741.31 Typical High $741.31 | Professional | None | $676.08 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $2,454.71 | Facility | None | $891.25 | $1,819.70 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,479.11 | Professional | None | $562.34 | $891.25 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,380.38 | Professional | None | $954.99 | $1,122.02 | $1,380.38 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $1,412.54 Typical High $8,709.64 | Facility | None | $870.96 | $1,412.54 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,258.93 | Professional | None | $741.31 | $831.76 | $1,258.93 |
Pacific Source Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,047.13 | Facility | None | $602.56 | $954.99 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $2,454.71 | Facility | None | $870.96 | $1,659.59 | $2,454.71 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $954.99 Typical High $1,479.11 | Professional | None | $79.43 | $954.99 | $1,479.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,128.61 Median $6,918.31 Typical High $7,762.47 | Facility | None | $5,128.61 | $6,918.31 | $7,762.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,071.52 | $1,380.38 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,548.82 | Professional | None | $588.84 | $933.25 | $1,548.82 |
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 $446.68 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $446.68 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $416.87 | $512.86 | $512.86 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,762.47 Median $10,232.93 Typical High $11,481.54 | Facility | 50 · Both sides | $7,762.47 | $10,232.93 | $11,481.54 |
Where Oregon sits
The same service costs 8.1 times more in Alaska than in Texas. 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.
Oregon· 10th of 51
$977
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.