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 $3,235.94 Median $5,011.87 Typical High $7,943.28 | Facility | None | $3,235.94 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $123.03 | Professional | None | $75.86 | $91.20 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $128.82 | Facility | None | $72.44 | $95.50 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $223.87 | Professional | None | $93.33 | $134.90 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $229.09 | Professional | None | $123.03 | $165.96 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $7,943.28 | Facility | None | $123.03 | $186.21 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $190.55 | Professional | None | $89.13 | $123.03 | $190.55 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $181.97 | Facility | None | $100.00 | $162.18 | $181.97 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $204.17 | Facility | None | $77.62 | $100.00 | $204.17 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $223.87 | Professional | None | $79.43 | $141.25 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,174.90 | Facility | None | $776.25 | $1,023.29 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $190.55 | Professional | None | $128.82 | $173.78 | $190.55 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $234.42 | Professional | None | $100.00 | $144.54 | $234.42 |
5 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 $67.61 Median $67.61 Typical High $91.20 | Professional | 54 · Surgery only | $67.61 | $67.61 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | 78 · Unplanned return to OR | $63.10 | $63.10 | $85.11 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | 54 · Surgery only | $67.61 | $67.61 | $91.20 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | 78 · Unplanned return to OR | $63.10 | $63.10 | $85.11 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,174.90 Median $1,548.82 Typical High $1,737.80 | Facility | 50 · Both sides | $1,174.90 | $1,548.82 | $1,737.80 |
Where Oregon sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 9th of 51
$138
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.