How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,585 to $3,467Professionalmedian $2,455 · 10th to 90th $1,047 to $3,890
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 Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,778.28 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $2,137.96 | Facility | None | $549.54 | $870.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,862.09 | $2,398.83 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,398.83 | $2,754.23 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $1,778.28 Median $2,570.40 Typical High $3,801.89 | Facility | None | $1,778.28 | $2,570.40 | $3,801.89 |
Moda Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $3,801.89 | Professional | None | $1,288.25 | $1,995.26 | $3,801.89 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $2,818.38 | Facility | None | $1,584.89 | $2,630.27 | $2,818.38 |
Providence Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $3,548.13 | Facility | None | $691.83 | $2,137.96 | $3,548.13 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $2,570.40 Typical High $4,073.80 | Professional | None | $79.43 | $2,570.40 | $4,073.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $4,168.69 | Professional | None | $2,691.53 | $2,818.38 | $4,168.69 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $25,118.86 | Facility | None | $2,691.53 | $4,677.35 | $25,118.86 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,041.74 | $2,951.21 | $4,897.79 |
2 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 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,258.93 | $1,258.93 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,258.93 | $1,258.93 |
Where Oregon sits
The same service costs 5.7 times more in Alaska than in Kentucky. 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
AK $13,752KY $2,420
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.