How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,349 to $13,183Professionalmedian $1,698 · 10th to 90th $955 to $2,570
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 $954.99 Median $1,348.96 Typical High $1,348.96 | Professional | None | $954.99 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $8,912.51 Typical High $12,022.64 | Facility | None | $2,398.83 | $8,912.51 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,000.00 | $1,584.89 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,659.59 | $1,905.46 | $2,344.23 |
Moda Health Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $17,378.01 | Facility | None | $1,621.81 | $2,818.38 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,412.54 | $2,238.72 |
Pacific Source Setting Facility Modifier None Typical Low $1,122.02 Median $1,862.09 Typical High $1,949.84 | Facility | None | $1,122.02 | $1,862.09 | $1,949.84 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $8,128.31 Typical High $12,022.64 | Facility | None | $1,819.70 | $8,128.31 | $12,022.64 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,737.80 Typical High $2,630.27 | Professional | None | $79.43 | $1,737.80 | $2,630.27 |
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 $1,819.70 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,949.84 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,737.80 | $2,818.38 |
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 $831.76 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $831.76 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $776.25 | $933.25 | $933.25 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $933.25 |
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 5.8 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 $14,501KY $2,497
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.