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 $851.14 Median $2,691.53 Typical High $6,918.31 | Facility | None | $851.14 | $2,691.53 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $2,344.23 Typical High $2,884.03 | Professional | None | $213.80 | $2,344.23 | $2,884.03 |
Christus Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,318.26 Typical High $4,265.80 | Facility | None | $933.25 | $1,318.26 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $1,548.82 Typical High $2,818.38 | Professional | None | $234.42 | $1,548.82 | $2,818.38 |
Lucent Health Setting Professional Modifier None Typical Low $16,218.10 Median $20,892.96 Typical High $20,892.96 | Professional | None | $16,218.10 | $20,892.96 | $20,892.96 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $2,398.83 Typical High $5,248.07 | Facility | None | $302.00 | $2,398.83 | $5,248.07 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $1,995.26 Typical High $2,884.03 | Professional | None | $213.80 | $1,995.26 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $331.13 Typical High $2,238.72 | Professional | None | $30.90 | $331.13 | $2,238.72 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $1,513.56 Typical High $9,772.37 | Facility | None | $660.69 | $1,513.56 | $9,772.37 |
Providence Setting Professional Modifier None Typical Low $234.42 Median $1,479.11 Typical High $2,818.38 | Professional | None | $234.42 | $1,479.11 | $2,818.38 |
United Setting Facility Modifier None Typical Low $616.60 Median $2,041.74 Typical High $3,801.89 | Facility | None | $616.60 | $2,041.74 | $3,801.89 |
United Setting Professional Modifier None Typical Low $199.53 Median $1,174.90 Typical High $2,454.71 | Professional | None | $199.53 | $1,174.90 | $2,454.71 |
Wellpoint Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $162.18 Median $724.44 Typical High $2,041.74 | Professional | 54 · Surgery only | $162.18 | $724.44 | $2,041.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $676.08 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $151.36 | $676.08 | $1,905.46 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $724.44 Typical High $2,041.74 | Professional | 54 · Surgery only | $162.18 | $724.44 | $2,041.74 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $676.08 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $151.36 | $676.08 | $1,905.46 |
Where Texas 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.
Texas· 51st of 51
$407
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.