How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,096 to $13,804Professionalmedian $1,514 · 10th to 90th $851 to $2,344
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 $1,202.26 Median $10,000.00 Typical High $24,547.09 | Facility | None | $1,202.26 | $10,000.00 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,258.93 | Professional | None | $851.14 | $977.24 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $9,549.93 Typical High $13,182.57 | Facility | None | $2,398.83 | $9,549.93 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,479.11 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,584.89 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $1,202.26 Median $7,244.36 Typical High $15,848.93 | Facility | None | $1,202.26 | $7,244.36 | $15,848.93 |
Moda Health Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $2,187.76 | Professional | None | $954.99 | $1,202.26 | $2,187.76 |
Pacific Source Setting Facility Modifier None Typical Low $977.24 Median $1,584.89 Typical High $1,698.24 | Facility | None | $977.24 | $1,584.89 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $1,698.24 Median $8,912.51 Typical High $13,182.57 | Facility | None | $1,698.24 | $8,912.51 | $13,182.57 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,584.89 Typical High $2,454.71 | Professional | None | $79.43 | $1,584.89 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $25,118.86 Median $35,481.34 Typical High $40,738.03 | Facility | None | $25,118.86 | $35,481.34 | $40,738.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,584.89 | $1,659.59 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $5,128.61 Typical High $25,118.86 | Facility | None | $2,691.53 | $5,128.61 | $25,118.86 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,230.27 | $1,778.28 | $2,884.03 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $724.44 | $724.44 | $724.44 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $676.08 |
Where Oregon sits
The same service costs 6.1 times more in Colorado than in Montana. 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
CO $15,685MT $2,577
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.