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 $1,096.48 Median $8,317.64 Typical High $17,378.01 | Facility | None | $1,096.48 | $8,317.64 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $891.25 | Professional | None | $645.65 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $18,620.87 Typical High $25,703.96 | Facility | None | $2,398.83 | $18,620.87 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,862.09 | Professional | None | $912.01 | $1,148.15 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,288.25 | Professional | None | $851.14 | $1,071.52 | $1,288.25 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $7,244.36 Typical High $17,378.01 | Facility | None | $977.24 | $7,244.36 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $891.25 | Professional | None | $812.83 | $891.25 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $1,318.26 | Facility | None | $602.56 | $954.99 | $1,318.26 |
Providence Setting Facility Modifier None Typical Low $1,071.52 Median $18,620.87 Typical High $26,915.35 | Facility | None | $1,071.52 | $18,620.87 | $26,915.35 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,000.00 Typical High $1,905.46 | Professional | None | $79.43 | $1,000.00 | $1,905.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $18,620.87 Median $37,153.52 Typical High $53,703.18 | Facility | None | $18,620.87 | $37,153.52 | $53,703.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,230.27 | $1,584.89 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $6,918.31 Typical High $48,977.88 | Facility | None | $2,951.21 | $6,918.31 | $48,977.88 |
United Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,445.44 | Professional | None | $630.96 | $794.33 | $1,445.44 |
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 $489.78 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $489.78 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $457.09 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $616.60 | $660.69 | $660.69 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $575.44 | $616.60 | $616.60 |
Where Oregon sits
The same service costs 8.3 times more in South Dakota 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.
Oregon· 14th of 51
$1,096
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.