How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,288 to $7,943Professionalmedian $1,862 · 10th to 90th $1,047 to $2,818
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 $1,000.00 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,445.44 | $1,445.44 |
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 $1,071.52 Median $1,698.24 Typical High $2,818.38 | Professional | None | $1,071.52 | $1,698.24 | $2,818.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,570.40 | Professional | None | $1,819.70 | $2,137.96 | $2,570.40 |
Moda Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $17,378.01 | Facility | None | $1,949.84 | $2,818.38 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,513.56 Typical High $2,344.23 | Professional | None | $1,445.44 | $1,513.56 | $2,344.23 |
Pacific Source Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $2,089.30 | Facility | None | $1,230.27 | $1,995.26 | $2,089.30 |
Providence Setting Facility Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,388.44 | Facility | None | $1,819.70 | $2,511.89 | $3,388.44 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,905.46 Typical High $2,818.38 | Professional | None | $79.43 | $1,905.46 | $2,818.38 |
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 $1,995.26 Median $2,089.30 Typical High $2,691.53 | Professional | None | $1,995.26 | $2,089.30 | $2,691.53 |
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 $1,258.93 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,258.93 | $1,862.09 | $3,090.30 |
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 $891.25 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $891.25 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $831.76 | $1,000.00 | $1,000.00 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,071.52 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,000.00 |
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 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.