How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,072 to $10,233Professionalmedian $5,129 · 10th to 90th $2,512 to $7,586
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 $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $4,168.69 | Professional | None | $2,630.27 | $4,168.69 | $4,168.69 |
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 $3,388.44 Median $4,466.84 Typical High $7,585.78 | Professional | None | $3,388.44 | $4,466.84 | $7,585.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,168.69 Median $5,370.32 Typical High $6,456.54 | Professional | None | $4,168.69 | $5,370.32 | $6,456.54 |
Moda Health Setting Facility Modifier None Typical Low $4,570.88 Median $7,762.47 Typical High $52,480.75 | Facility | None | $4,570.88 | $7,762.47 | $52,480.75 |
Moda Health Setting Professional Modifier None Typical Low $3,801.89 Median $4,265.80 Typical High $6,606.93 | Professional | None | $3,801.89 | $4,265.80 | $6,606.93 |
Pacific Source Setting Facility Modifier None Typical Low $3,311.31 Median $5,370.32 Typical High $5,623.41 | Facility | None | $3,311.31 | $5,370.32 | $5,623.41 |
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 $5,128.61 Typical High $8,317.64 | Professional | None | $79.43 | $5,128.61 | $8,317.64 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Facility | None | $14,791.08 | $14,791.08 | $14,791.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $7,413.10 | Professional | None | $5,370.32 | $5,623.41 | $7,413.10 |
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 $4,168.69 Median $5,248.07 Typical High $8,709.64 | Professional | None | $4,168.69 | $5,248.07 | $8,709.64 |
4 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 54 · Surgery only Typical Low $2,290.87 Median $3,162.28 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,290.87 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $2,951.21 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $2,137.96 | $2,951.21 | $2,951.21 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $3,162.28 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,884.03 | $3,162.28 | $3,162.28 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,951.21 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,951.21 | $2,951.21 |
Where Oregon sits
The same service costs 6.5 times more in Alaska 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
AK $21,355WA $3,262
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.