How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,202 to $26,915Professionalmedian $661 · 10th to 90th $93 to $1,585
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 $1,122.02 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,122.02 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,122.02 | $1,122.02 | $1,230.27 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $19,952.62 Typical High $41,686.94 | Facility | None | $602.56 | $19,952.62 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,202.26 Median $6,456.54 Typical High $7,079.46 | Professional | None | $1,202.26 | $6,456.54 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,011.87 Typical High $9,120.11 | Facility | None | $707.95 | $5,011.87 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,949.84 | Professional | None | $870.96 | $1,047.13 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $2,290.87 Typical High $7,079.46 | Professional | None | $954.99 | $2,290.87 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $575.44 Typical High $1,479.11 | Professional | None | $85.11 | $575.44 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,445.44 | $1,737.80 | $1,778.28 |
Premera BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $3,019.95 Typical High $4,786.30 | Facility | None | $1,202.26 | $3,019.95 | $4,786.30 |
Premera BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $20,892.96 Typical High $39,810.72 | Facility | None | $13,803.84 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,041.74 | Professional | None | $1,202.26 | $1,202.26 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $28,183.83 | Facility | None | $1,548.82 | $2,570.40 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,258.93 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,659.59 | Professional | None | $812.83 | $1,096.48 | $1,659.59 |
3 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 $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $20,892.96 Median $31,622.78 Typical High $58,884.37 | Facility | 50 · Both sides | $20,892.96 | $31,622.78 | $58,884.37 |
Where Washington sits
The same service costs 5.7 times more in Colorado than in Kentucky. 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 $12,195KY $2,139
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.