How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,820 to $10,233Professionalmedian $3,548 · 10th to 90th $1,778 to $5,248
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 $1,862.09 Median $2,951.21 Typical High $2,951.21 | Professional | None | $1,862.09 | $2,951.21 | $2,951.21 |
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 $2,344.23 Median $3,162.28 Typical High $5,248.07 | Professional | None | $2,344.23 | $3,162.28 | $5,248.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $4,677.35 | Professional | None | $3,019.95 | $3,801.89 | $4,677.35 |
Moda Health Setting Facility Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $17,378.01 | Facility | None | $3,467.37 | $5,495.41 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $4,570.88 | Professional | None | $2,630.27 | $2,951.21 | $4,570.88 |
Pacific Source Setting Facility Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $3,890.45 | Facility | None | $2,290.87 | $3,715.35 | $3,890.45 |
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 $3,548.13 Typical High $5,754.40 | Professional | None | $79.43 | $3,548.13 | $5,754.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | None | $10,232.93 | $10,232.93 | $10,232.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,715.35 Median $3,890.45 Typical High $5,128.61 | Professional | None | $3,715.35 | $3,890.45 | $5,128.61 |
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 $2,818.38 Median $3,548.13 Typical High $6,025.60 | Professional | None | $2,818.38 | $3,548.13 | $6,025.60 |
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 $1,479.11 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,041.74 | $2,041.74 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,862.09 | $2,041.74 | $2,041.74 |
Where Oregon sits
The same service costs 5.7 times more in Maine than in Washington. 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 $14,873WA $2,596
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.