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 Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Professional | None | $575,439.94 | $575,439.94 | $575,439.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $288,403.15 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $288,403.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $114,815.36 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $114,815.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $57,543.99 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $57,543.99 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $602,559.59 | Professional | None | $549,540.87 | $549,540.87 | $602,559.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $575,439.94 Typical High $1,230,268.77 | Professional | None | $169.82 | $575,439.94 | $1,230,268.77 |
Moda Health Setting Facility Modifier None Typical Low $562,341.33 Median $575,439.94 Typical High $812,830.52 | Facility | None | $562,341.33 | $575,439.94 | $812,830.52 |
Moda Health Setting Professional Modifier None Typical Low $562,341.33 Median $575,439.94 Typical High $676,082.98 | Professional | None | $562,341.33 | $575,439.94 | $676,082.98 |
Moda Health 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 |
Moda Health 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 |
Moda Health 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 |
Moda Health 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 |
Providence Setting Facility Modifier None Typical Low $562,341.33 Median $645,654.23 Typical High $1,023,292.99 | Facility | None | $562,341.33 | $645,654.23 | $1,023,292.99 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $645,654.23 Typical High $645,654.23 | Professional | None | $70.79 | $645,654.23 | $645,654.23 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $1,174,897.55 Typical High $1,380,384.26 | Facility | None | $575,439.94 | $1,174,897.55 | $1,380,384.26 |
United Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $645,654.23 | Professional | None | $562,341.33 | $562,341.33 | $645,654.23 |
Where Oregon sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 45th of 51
$575,440
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.