How much rates vary
Facilitymedian $1,318 · 10th to 90th $794 to $7,943Professionalmedian $1,175 · 10th to 90th $661 to $1,995
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 $5,128.61 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $891.25 | Professional | None | $676.08 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,000.00 Typical High $23,988.33 | Facility | None | $549.54 | $1,000.00 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,479.11 | $1,819.70 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $1,659.59 Typical High $7,943.28 | Facility | None | $977.24 | $1,659.59 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,778.28 | Professional | None | $891.25 | $1,122.02 | $1,778.28 |
Pacific Source Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $1,513.56 | Facility | None | $812.83 | $1,318.26 | $1,513.56 |
Providence Setting Facility Modifier None Typical Low $831.76 Median $251,188.64 Typical High $251,188.64 | Facility | None | $831.76 | $251,188.64 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $660.69 Typical High $2,238.72 | Professional | None | $79.43 | $660.69 | $2,238.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,288.25 | $1,949.84 |
United Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $11,481.54 | Facility | None | $602.56 | $870.96 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,258.93 | $2,238.72 |
8 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 $478.63 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $478.63 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $97.72 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $64.57 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $446.68 | $616.60 | $616.60 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $512.86 | $660.69 | $660.69 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $102.33 | $131.83 | $131.83 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $89.13 | $89.13 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $478.63 | $616.60 | $616.60 |
Where Oregon sits
The same service costs 3.8 times more in Alaska 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.
Oregon· 8th of 51
$1,230
AK $1,862TX $490
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.