How much rates vary
Facilitymedian $832 · 10th to 90th $589 to $8,318Professionalmedian $759 · 10th to 90th $389 to $1,148
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 $724.44 Median $8,317.64 Typical High $17,378.01 | Facility | None | $724.44 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $660.69 | Professional | None | $389.05 | $588.84 | $660.69 |
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 $436.52 Median $691.83 Typical High $1,148.15 | Professional | None | $436.52 | $691.83 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,096.48 | Professional | None | $758.58 | $891.25 | $1,096.48 |
Moda Health Setting Facility Modifier None Typical Low $724.44 Median $5,370.32 Typical High $16,218.10 | Facility | None | $724.44 | $5,370.32 | $16,218.10 |
Moda Health Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $1,023.29 | Professional | None | $407.38 | $616.60 | $1,023.29 |
Pacific Source Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $851.14 | Facility | None | $489.78 | $812.83 | $851.14 |
Providence Setting Facility Modifier None Typical Low $870.96 Median $2,344.23 Typical High $3,388.44 | Facility | None | $870.96 | $2,344.23 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $776.25 Typical High $1,174.90 | Professional | None | $79.43 | $776.25 | $1,174.90 |
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 $812.83 Median $851.14 Typical High $1,122.02 | Professional | None | $812.83 | $851.14 | $1,122.02 |
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 $549.54 Median $758.58 Typical High $1,230.27 | Professional | None | $549.54 | $758.58 | $1,230.27 |
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 $363.08 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $363.08 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $338.84 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
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 4.9 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 $6,755MT $1,384
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.