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 $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 $616.60 Median $831.76 Typical High $831.76 | Professional | None | $616.60 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $9,549.93 Typical High $13,182.57 | Facility | None | $2,398.83 | $9,549.93 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,698.24 | Professional | None | $851.14 | $1,071.52 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,318.26 | Professional | None | $870.96 | $1,071.52 | $1,318.26 |
Moda Health Setting Facility Modifier None Typical Low $912.01 Median $7,943.28 Typical High $17,378.01 | Facility | None | $912.01 | $7,943.28 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $831.76 | Professional | None | $758.58 | $831.76 | $831.76 |
Pacific Source Setting Facility Modifier None Typical Low $436.52 Median $724.44 Typical High $1,000.00 | Facility | None | $436.52 | $724.44 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $1,148.15 Median $9,549.93 Typical High $13,803.84 | Facility | None | $1,148.15 | $9,549.93 | $13,803.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $933.25 Typical High $1,698.24 | Professional | None | $79.43 | $933.25 | $1,698.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $20,892.96 Typical High $40,738.03 | Facility | None | $14,454.40 | $20,892.96 | $40,738.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,174.90 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $22,908.68 | Facility | None | $1,949.84 | $3,548.13 | $22,908.68 |
United Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,621.81 | Professional | None | $724.44 | $891.25 | $1,621.81 |
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 $467.74 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $467.74 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $436.52 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $575.44 | $630.96 | $630.96 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $537.03 | $588.84 | $588.84 |
Where Oregon sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 11th of 51
$1,047
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.