How much rates vary
Facilitymedian $1,445 · 10th to 90th $646 to $12,023Professionalmedian $501 · 10th to 90th $50 to $1,202
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 $831.76 Median $8,912.51 Typical High $21,877.62 | Facility | None | $831.76 | $8,912.51 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,023.29 | Professional | None | $602.56 | $831.76 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $457.09 Median $1,513.56 Typical High $12,302.69 | Facility | None | $457.09 | $1,513.56 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $851.14 Median $5,128.61 Typical High $5,248.07 | Professional | None | $851.14 | $5,128.61 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $3,801.89 | Facility | None | $707.95 | $2,137.96 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,380.38 | Professional | None | $575.44 | $676.08 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,162.28 | Professional | None | $660.69 | $1,659.59 | $3,162.28 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $436.52 Typical High $1,122.02 | Professional | None | $48.98 | $436.52 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,230.27 | Facility | None | $794.33 | $1,096.48 | $1,230.27 |
Premera BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,548.82 Typical High $2,691.53 | Facility | None | $676.08 | $1,548.82 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,309.57 Median $9,549.93 Typical High $17,782.79 | Facility | None | $6,309.57 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,412.54 | Professional | None | $851.14 | $851.14 | $1,412.54 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $12,882.50 | Facility | None | $588.84 | $977.24 | $12,882.50 |
United Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,659.59 | Professional | None | $676.08 | $831.76 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,348.96 | Professional | None | $616.60 | $831.76 | $1,348.96 |
6 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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $588.84 |
Where Washington sits
The same service costs 3.5 times more in Colorado 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
CO $6,475MD $1,847
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.