How much rates vary
Facilitymedian $1,738 · 10th to 90th $708 to $10,965Professionalmedian $363 · 10th to 90th $59 to $813
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 $524.81 Median $8,317.64 Typical High $21,877.62 | Facility | None | $524.81 | $8,317.64 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $630.96 | Professional | None | $426.58 | $524.81 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $630.96 Typical High $630.96 | Professional | None | $354.81 | $630.96 | $630.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $295.12 Median $7,943.28 Typical High $16,218.10 | Facility | None | $295.12 | $7,943.28 | $16,218.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $562.34 Median $2,951.21 Typical High $3,388.44 | Professional | None | $562.34 | $2,951.21 | $3,388.44 |
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 $416.87 Median $489.78 Typical High $891.25 | Professional | None | $416.87 | $489.78 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $1,122.02 Typical High $2,398.83 | Professional | None | $467.74 | $1,122.02 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $331.13 Typical High $776.25 | Professional | None | $54.95 | $331.13 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $812.83 | Facility | None | $478.63 | $758.58 | $812.83 |
Premera BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,258.93 Typical High $2,089.30 | Facility | None | $891.25 | $1,258.93 | $2,089.30 |
Premera BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
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 $562.34 Median $562.34 Typical High $954.99 | Professional | None | $562.34 | $562.34 | $954.99 |
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 $478.63 Median $588.84 Typical High $1,148.15 | Professional | None | $478.63 | $588.84 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $812.83 | Professional | None | $398.11 | $537.03 | $812.83 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,317.64 Median $12,589.25 Typical High $23,442.29 | Facility | 50 · Both sides | $8,317.64 | $12,589.25 | $23,442.29 |
Where Washington sits
The same service costs 5.1 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 $6,741MT $1,322
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.