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 $10,715.19 Typical High $18,620.87 | Facility | None | $5,128.61 | $10,715.19 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $616.60 | Professional | None | $398.11 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,096.48 | Professional | None | $489.78 | $660.69 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,000.00 | Professional | None | $645.65 | $812.83 | $1,000.00 |
Moda Health Setting Facility Modifier None Typical Low $851.14 Median $6,025.60 Typical High $18,620.87 | Facility | None | $851.14 | $6,025.60 | $18,620.87 |
Moda Health Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $954.99 | Professional | None | $426.58 | $630.96 | $954.99 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $831.76 | Facility | None | $562.34 | $794.33 | $831.76 |
Providence Setting Facility Modifier None Typical Low $616.60 Median $977.24 Typical High $37,153.52 | Facility | None | $616.60 | $977.24 | $37,153.52 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $758.58 Typical High $1,202.26 | Professional | None | $79.43 | $758.58 | $1,202.26 |
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 $794.33 Median $831.76 Typical High $1,096.48 | Professional | None | $794.33 | $831.76 | $1,096.48 |
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 $616.60 Median $758.58 Typical High $1,288.25 | Professional | None | $616.60 | $758.58 | $1,288.25 |
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 $323.59 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $323.59 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $302.00 | $426.58 | $426.58 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $331.13 | $457.09 | $457.09 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $309.03 | $426.58 | $426.58 |
Where Oregon sits
The same service costs 4.4 times more in Alaska 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
$759
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.