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 $2,398.83 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,398.83 | $3,311.31 | $3,311.31 |
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 $2,630.27 Median $3,548.13 Typical High $5,888.44 | Professional | None | $2,630.27 | $3,548.13 | $5,888.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $4,265.80 Typical High $5,248.07 | Professional | None | $3,388.44 | $4,265.80 | $5,248.07 |
Moda Health Setting Facility Modifier None Typical Low $3,801.89 Median $5,623.41 Typical High $17,378.01 | Facility | None | $3,801.89 | $5,623.41 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $5,128.61 | Professional | None | $3,235.94 | $3,388.44 | $5,128.61 |
Pacific Source Setting Facility Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $4,466.84 | Facility | None | $2,630.27 | $4,073.80 | $4,466.84 |
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 $3,801.89 Typical High $6,456.54 | Professional | None | $79.43 | $3,801.89 | $6,456.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Facility | None | $10,964.78 | $10,964.78 | $10,964.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $5,888.44 | Professional | None | $4,265.80 | $4,466.84 | $5,888.44 |
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 $3,235.94 Median $4,073.80 Typical High $6,918.31 | Professional | None | $3,235.94 | $4,073.80 | $6,918.31 |
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 $1,698.24 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,290.87 | $2,290.87 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,290.87 | $2,290.87 |
Where Oregon sits
The same service costs 21.9 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
$3,890
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.