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 $707.95 Median $8,912.51 Typical High $18,620.87 | Facility | None | $707.95 | $8,912.51 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $575.44 | Professional | None | $371.54 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $1,047.13 | Professional | None | $467.74 | $616.60 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $933.25 | Professional | None | $602.56 | $776.25 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $794.33 Median $9,549.93 Typical High $18,620.87 | Facility | None | $794.33 | $9,549.93 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $1,096.48 | Professional | None | $398.11 | $588.84 | $1,096.48 |
Pacific Source Setting Facility Modifier None Typical Low $446.68 Median $741.31 Typical High $776.25 | Facility | None | $446.68 | $741.31 | $776.25 |
Providence Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $37,153.52 | Facility | None | $588.84 | $933.25 | $37,153.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $707.95 Typical High $1,148.15 | Professional | None | $79.43 | $707.95 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,454.40 Median $19,952.62 Typical High $22,908.68 | Facility | None | $14,454.40 | $19,952.62 | $22,908.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,023.29 | Professional | None | $741.31 | $776.25 | $1,023.29 |
United Setting Facility Modifier None Typical Low $15,135.61 Median $22,908.68 Typical High $25,703.96 | Facility | None | $15,135.61 | $22,908.68 | $25,703.96 |
United Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,202.26 | Professional | None | $575.44 | $707.95 | $1,202.26 |
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 $309.03 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $309.03 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $288.40 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $316.23 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $295.12 | $407.38 | $407.38 |
Where Oregon sits
The same service costs 4.2 times more in Wyoming than in Utah. 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
$708
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.