How much rates vary
Facilitymedian $955 · 10th to 90th $692 to $5,012Professionalmedian $724 · 10th to 90th $457 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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $724.44 | Professional | None | $346.74 | $489.78 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $3,162.28 | Facility | None | $891.25 | $2,344.23 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $1,174.90 | Professional | None | $478.63 | $691.83 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,202.26 | Professional | None | $630.96 | $851.14 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $691.83 Median $1,047.13 Typical High $7,943.28 | Facility | None | $691.83 | $1,047.13 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $1,000.00 | Professional | None | $457.09 | $707.95 | $1,000.00 |
Pacific Source Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $977.24 | Facility | None | $575.44 | $933.25 | $977.24 |
Providence Setting Facility Modifier None Typical Low $724.44 Median $2,041.74 Typical High $3,162.28 | Facility | None | $724.44 | $2,041.74 | $3,162.28 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $741.31 Typical High $1,174.90 | Professional | None | $79.43 | $741.31 | $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 $645.65 Median $912.01 Typical High $1,000.00 | Professional | None | $645.65 | $912.01 | $1,000.00 |
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 $512.86 Median $794.33 Typical High $1,288.25 | Professional | None | $512.86 | $794.33 | $1,288.25 |
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 $363.08 Typical High $537.03 | Professional | 54 · Surgery only | $363.08 | $363.08 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $501.19 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $537.03 | Professional | 54 · Surgery only | $363.08 | $363.08 | $537.03 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $501.19 |
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 6.0 times more in Colorado than in West Virginia. 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 $6,136WV $1,026
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.