How much rates vary
Facilitymedian $468 · 10th to 90th $151 to $646Professionalmedian $437 · 10th to 90th $50 to $2,138
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $630.96 Typical High $676.08 | Facility | None | $50.12 | $630.96 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $660.69 | Professional | None | $40.74 | $50.12 | $660.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $478.63 Median $2,137.96 Typical High $4,677.35 | Professional | None | $478.63 | $2,137.96 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $707.95 | Professional | None | $407.38 | $436.52 | $707.95 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $186.21 | Professional | None | $75.86 | $93.33 | $186.21 |
Pacific Source Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $616.60 | Facility | None | $416.87 | $467.74 | $616.60 |
Premera BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $616.60 | Professional | None | $426.58 | $426.58 | $616.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $707.95 | Professional | None | $478.63 | $478.63 | $707.95 |
United Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $83.18 | Professional | None | $45.71 | $56.23 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $7.94 Median $165.96 Typical High $165.96 | Professional | None | $7.94 | $165.96 | $165.96 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | QK · Directing 2–4 cases | $602.56 | $602.56 | $602.56 |