How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,072 to $11,220Professionalmedian $1,950 · 10th to 90th $1,000 to $2,951
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 $1,071.52 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $23,988.33 | Facility | None | $549.54 | $1,000.00 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,778.28 Typical High $2,951.21 | Professional | None | $1,318.26 | $1,778.28 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,630.27 | Professional | None | $1,698.24 | $2,137.96 | $2,630.27 |
Moda Health Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $17,378.01 | Facility | None | $1,905.46 | $3,019.95 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,445.44 | $1,698.24 | $2,511.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $2,187.76 | Facility | None | $1,288.25 | $2,089.30 | $2,187.76 |
Providence Setting Facility Modifier None Typical Low $1,023.29 Median $251,188.64 Typical High $251,188.64 | Facility | None | $1,023.29 | $251,188.64 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,995.26 Typical High $3,162.28 | Professional | None | $79.43 | $1,995.26 | $3,162.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,187.76 | $2,884.03 |
United Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $11,481.54 | Facility | None | $602.56 | $870.96 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,584.89 | $1,995.26 | $3,388.44 |
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 $812.83 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $812.83 | $1,148.15 | $1,148.15 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,148.15 | $1,148.15 |
Where Oregon sits
The same service costs 15.9 times more in Maine 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
ME $27,116MD $1,710
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.