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 $3,890.45 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,890.45 | $6,025.60 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $1,659.59 Typical High $3,388.44 | Professional | None | $288.40 | $1,659.59 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $2,570.40 | Facility | None | $1,513.56 | $1,949.84 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $1,862.09 Typical High $6,606.93 | Professional | None | $323.59 | $1,862.09 | $6,606.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $6,025.60 | Professional | None | $380.19 | $588.84 | $6,025.60 |
Moda Health Setting Facility Modifier None Typical Low $416.87 Median $3,890.45 Typical High $8,709.64 | Facility | None | $416.87 | $3,890.45 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $288.40 Median $2,344.23 Typical High $4,897.79 | Professional | None | $288.40 | $2,344.23 | $4,897.79 |
Pacific Source Setting Facility Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $4,786.30 | Facility | None | $2,238.72 | $3,715.35 | $4,786.30 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $2,041.74 Typical High $4,168.69 | Facility | None | $537.03 | $2,041.74 | $4,168.69 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $6,606.93 | Professional | None | $79.43 | $645.65 | $6,606.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $7,244.36 Typical High $8,128.31 | Facility | None | $5,248.07 | $7,244.36 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $6,309.57 | Professional | None | $426.58 | $758.58 | $6,309.57 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $7,413.10 | Facility | None | $602.56 | $1,000.00 | $7,413.10 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,548.82 Typical High $6,456.54 | Professional | None | $371.54 | $1,548.82 | $6,456.54 |
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 $218.78 Median $239.88 Typical High $2,511.89 | Professional | 54 · Surgery only | $218.78 | $239.88 | $2,511.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $223.87 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $204.17 | $223.87 | $2,344.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $2,511.89 | Professional | 54 · Surgery only | $218.78 | $218.78 | $2,511.89 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $204.17 | $204.17 | $2,344.23 |
Where Oregon sits
The same service costs 7.1 times more in Oregon 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· 1st of 51
$2,884
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.