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 $1,230.27 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,230.27 | $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 $3,019.95 | Professional | None | $1,318.26 | $1,778.28 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $2,754.23 | Professional | None | $1,778.28 | $2,238.72 | $2,754.23 |
Moda Health Setting Facility Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $17,378.01 | Facility | None | $1,819.70 | $3,019.95 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,584.89 | $1,737.80 | $2,630.27 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $2,238.72 | Facility | None | $1,288.25 | $2,041.74 | $2,238.72 |
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 $3,235.94 | Professional | None | $79.43 | $1,995.26 | $3,235.94 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,238.72 | $2,951.21 |
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 $1,621.81 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,621.81 | $2,041.74 | $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 $851.14 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $851.14 | $1,174.90 | $1,174.90 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,174.90 | $1,174.90 |
Where Oregon sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$1,995
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.