How much rates vary
Facilitymedian $602,560 · 10th to 90th $537,032 to $1,122,018Professionalmedian $562,341 · 10th to 90th $446,684 to $616,595
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 $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281,838.29 Median $281,838.29 Typical High $281,838.29 | Professional | 52 · Reduced service | $281,838.29 | $281,838.29 | $281,838.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112,201.85 Median $112,201.85 Typical High $112,201.85 | Professional | 53 · Discontinued | $112,201.85 | $112,201.85 | $112,201.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85,113.80 Median $85,113.80 Typical High $85,113.80 | Professional | 55 · Aftercare only | $85,113.80 | $85,113.80 | $85,113.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | 56 · Pre-op care only | $56,234.13 | $56,234.13 | $56,234.13 |
Cigna Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $588,843.66 | Professional | None | $537,031.80 | $537,031.80 | $588,843.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $562,341.33 Typical High $1,174,897.55 | Professional | None | $169.82 | $562,341.33 | $1,174,897.55 |
Moda Health Setting Facility Modifier None Typical Low $537,031.80 Median $562,341.33 Typical High $870,963.59 | Facility | None | $537,031.80 | $562,341.33 | $870,963.59 |
Moda Health Setting Professional Modifier None Typical Low $537,031.80 Median $562,341.33 Typical High $660,693.45 | Professional | None | $537,031.80 | $562,341.33 | $660,693.45 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $263,026.80 Median $263,026.80 Typical High $263,026.80 | Professional | 52 · Reduced service | $263,026.80 | $263,026.80 | $263,026.80 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $107,151.93 Median $107,151.93 Typical High $107,151.93 | Professional | 53 · Discontinued | $107,151.93 | $107,151.93 | $107,151.93 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $79,432.82 Median $79,432.82 Typical High $79,432.82 | Professional | 55 · Aftercare only | $79,432.82 | $79,432.82 | $79,432.82 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $53,703.18 Median $53,703.18 Typical High $53,703.18 | Professional | 56 · Pre-op care only | $53,703.18 | $53,703.18 | $53,703.18 |
Providence Setting Facility Modifier None Typical Low $524,807.46 Median $616,595.00 Typical High $977,237.22 | Facility | None | $524,807.46 | $616,595.00 | $977,237.22 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $616,595.00 Typical High $616,595.00 | Professional | None | $70.79 | $616,595.00 | $616,595.00 |
United Setting Facility Modifier None Typical Low $562,341.33 Median $1,148,153.62 Typical High $1,348,962.88 | Facility | None | $562,341.33 | $1,148,153.62 | $1,348,962.88 |
United Setting Professional Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $616,595.00 | Professional | None | $537,031.80 | $537,031.80 | $616,595.00 |
Where Oregon sits
Rates are fairly even across states for this service. 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· 40th of 51
$562,341
MS $676,083NJ $537,032
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.