How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,000 to $10,965Professionalmedian $1,000 · 10th to 90th $135 to $2,399
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 $1,698.24 Median $12,882.50 Typical High $21,877.62 | Facility | None | $1,698.24 | $12,882.50 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,698.24 | $1,995.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $912.01 Median $8,317.64 Typical High $16,218.10 | Facility | None | $912.01 | $8,317.64 | $16,218.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,819.70 Median $9,549.93 Typical High $10,715.19 | Professional | None | $1,819.70 | $9,549.93 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,905.46 Typical High $3,235.94 | Facility | None | $707.95 | $1,905.46 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,584.89 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,348.96 | $1,995.26 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $851.14 Typical High $2,238.72 | Professional | None | $128.82 | $851.14 | $2,238.72 |
Pacific Source Setting Facility Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $2,691.53 | Facility | None | $1,905.46 | $2,570.40 | $2,691.53 |
Premera BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,089.30 | Facility | None | $954.99 | $1,288.25 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,495.41 Median $8,317.64 Typical High $15,848.93 | Facility | None | $5,495.41 | $8,317.64 | $15,848.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,819.70 | $1,819.70 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $11,220.18 | Facility | None | $1,202.26 | $1,949.84 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $3,715.35 | Professional | None | $1,548.82 | $1,905.46 | $3,715.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,202.26 | $1,621.81 | $2,511.89 |
2 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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,174.90 |
Where Washington sits
The same service costs 3.4 times more in Alabama than in Maryland. 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
AL $9,171MD $2,698
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.