How much rates vary
Facilitymedian $1,479 · 10th to 90th $891 to $5,754Professionalmedian $537 · 10th to 90th $219 to $1,905
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 $223.87 Median $575.44 Typical High $1,412.54 | Professional | None | $223.87 | $575.44 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $2,754.23 | Facility | None | $1,202.26 | $2,089.30 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $537.03 Typical High $2,344.23 | Professional | None | $194.98 | $537.03 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $2,089.30 | Professional | None | $263.03 | $371.54 | $2,089.30 |
Moda Health Setting Facility Modifier None Typical Low $346.74 Median $1,584.89 Typical High $8,709.64 | Facility | None | $346.74 | $1,584.89 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $645.65 Typical High $1,584.89 | Professional | None | $234.42 | $645.65 | $1,584.89 |
Pacific Source Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $1,698.24 | Facility | None | $891.25 | $1,412.54 | $1,698.24 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $1,905.46 Typical High $2,754.23 | Facility | None | $389.05 | $1,905.46 | $2,754.23 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $457.09 Typical High $1,995.26 | Professional | None | $79.43 | $457.09 | $1,995.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $8,128.31 Typical High $9,332.54 | Facility | None | $5,754.40 | $8,128.31 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $1,698.24 | Professional | None | $295.12 | $501.19 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $12,022.64 | Facility | None | $1,230.27 | $1,862.09 | $12,022.64 |
United Setting Professional Modifier None Typical Low $263.03 Median $741.31 Typical High $2,290.87 | Professional | None | $263.03 | $741.31 | $2,290.87 |
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 $181.97 Median $251.19 Typical High $1,047.13 | Professional | 54 · Surgery only | $181.97 | $251.19 | $1,047.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $234.42 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $169.82 | $234.42 | $977.24 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $251.19 Typical High $1,047.13 | Professional | 54 · Surgery only | $181.97 | $251.19 | $1,047.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $234.42 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $169.82 | $234.42 | $977.24 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,709.64 Median $12,302.69 Typical High $13,803.84 | Facility | 50 · Both sides | $8,709.64 | $12,302.69 | $13,803.84 |
Where Oregon sits
The same service costs 3.5 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 $4,667MT $1,347
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.