How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $6,166Professionalmedian $324 · 10th to 90th $72 to $692
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 $426.58 Median $6,456.54 Typical High $20,892.96 | Facility | None | $426.58 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $467.74 | Professional | None | $426.58 | $426.58 | $467.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $1,148.15 Typical High $6,165.95 | Facility | None | $234.42 | $1,148.15 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $446.68 Median $2,884.03 Typical High $3,548.13 | Professional | None | $446.68 | $2,884.03 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,230.27 Typical High $2,187.76 | Facility | None | $630.96 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $724.44 | Professional | None | $316.23 | $380.19 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $891.25 Typical High $1,659.59 | Professional | None | $346.74 | $891.25 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $295.12 Typical High $645.65 | Professional | None | $69.18 | $295.12 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $660.69 | Facility | None | $371.54 | $588.84 | $660.69 |
Premera BCBS Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,479.11 | Facility | None | $630.96 | $891.25 | $1,479.11 |
Premera BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,467.37 | $4,677.35 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $741.31 | Professional | None | $446.68 | $446.68 | $741.31 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,309.57 | Facility | None | $588.84 | $977.24 | $6,309.57 |
United Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $891.25 | Professional | None | $363.08 | $457.09 | $891.25 |
Wellpoint Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $676.08 | Professional | None | $316.23 | $426.58 | $676.08 |
7 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 52 · Reduced service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $295.12 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,128.61 Median $7,079.46 Typical High $13,489.63 | Facility | 50 · Both sides | $5,128.61 | $7,079.46 | $13,489.63 |
Where Washington sits
The same service costs 4.6 times more in Colorado than in Montana. 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
CO $4,822MT $1,050
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.