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 $3,235.94 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 $602.56 Median $933.25 Typical High $1,584.89 | Professional | None | $602.56 | $933.25 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,137.96 | Facility | None | $1,202.26 | $1,621.81 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,174.90 Typical High $2,344.23 | Professional | None | $562.34 | $1,174.90 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $2,290.87 | Professional | None | $707.95 | $1,047.13 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $870.96 Median $2,454.71 Typical High $7,943.28 | Facility | None | $870.96 | $2,454.71 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $602.56 Median $1,202.26 Typical High $2,818.38 | Professional | None | $602.56 | $1,202.26 | $2,818.38 |
Pacific Source Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $4,897.79 | Facility | None | $1,096.48 | $1,737.80 | $4,897.79 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $1,621.81 Typical High $6,918.31 | Facility | None | $891.25 | $1,621.81 | $6,918.31 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,071.52 Typical High $2,691.53 | Professional | None | $79.43 | $1,071.52 | $2,691.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $10,964.78 Typical High $12,882.50 | Facility | None | $7,413.10 | $10,964.78 | $12,882.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $1,412.54 Typical High $1,949.84 | Professional | None | $724.44 | $1,412.54 | $1,949.84 |
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 $616.60 Median $1,318.26 Typical High $2,951.21 | Professional | None | $616.60 | $1,318.26 | $2,951.21 |
4 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 $457.09 Median $660.69 Typical High $1,174.90 | Professional | 54 · Surgery only | $457.09 | $660.69 | $1,174.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $616.60 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $426.58 | $616.60 | $1,096.48 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $660.69 Typical High $1,174.90 | Professional | 54 · Surgery only | $457.09 | $660.69 | $1,174.90 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $616.60 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $426.58 | $616.60 | $1,096.48 |
Where Oregon sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 7th of 51
$1,349
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.