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 $363.08 Median $501.19 Typical High $501.19 | Professional | None | $363.08 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,089.30 Typical High $2,884.03 | Facility | None | $660.69 | $2,089.30 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $933.25 | Professional | None | $389.05 | $549.54 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $870.96 | Professional | None | $562.34 | $707.95 | $870.96 |
Moda Health Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $7,943.28 | Facility | None | $549.54 | $891.25 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $891.25 | Professional | None | $478.63 | $524.81 | $891.25 |
Pacific Source Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $676.08 | Facility | None | $389.05 | $616.60 | $676.08 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,949.84 Typical High $2,884.03 | Facility | None | $660.69 | $1,949.84 | $2,884.03 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $602.56 Typical High $1,000.00 | Professional | None | $79.43 | $602.56 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,786.30 Median $6,456.54 Typical High $7,413.10 | Facility | None | $4,786.30 | $6,456.54 | $7,413.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $676.08 Typical High $912.01 | Professional | None | $645.65 | $676.08 | $912.01 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $489.78 Median $602.56 Typical High $1,000.00 | Professional | None | $489.78 | $602.56 | $1,000.00 |
2 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 78 · Unplanned return to OR Typical Low $251.19 Median $346.74 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $251.19 | $346.74 | $346.74 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $323.59 | $346.74 | $346.74 |
Where Oregon sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 10th of 51
$617
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.