How much rates vary
Facilitymedian $4,169 · 10th to 90th $871 to $22,909Professionalmedian $550 · 10th to 90th $93 to $1,288
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 $912.01 Median $11,220.18 Typical High $21,877.62 | Facility | None | $912.01 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,000.00 | Professional | None | $724.44 | $912.01 | $1,000.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $501.19 Median $1,513.56 Typical High $27,542.29 | Facility | None | $501.19 | $1,513.56 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $977.24 Median $5,128.61 Typical High $5,888.44 | Professional | None | $977.24 | $5,128.61 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $8,709.64 | Facility | None | $707.95 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,584.89 | Professional | None | $707.95 | $851.14 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,995.26 Typical High $7,079.46 | Professional | None | $812.83 | $1,995.26 | $7,079.46 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $467.74 Typical High $1,202.26 | Professional | None | $85.11 | $467.74 | $1,202.26 |
Pacific Source Setting Facility Modifier None Typical Low $870.96 Median $1,258.93 Typical High $1,412.54 | Facility | None | $870.96 | $1,258.93 | $1,412.54 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $3,548.13 Typical High $6,025.60 | Facility | None | $1,621.81 | $3,548.13 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
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 $977.24 Median $977.24 Typical High $1,621.81 | Professional | None | $977.24 | $977.24 | $1,621.81 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,691.53 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,995.26 | Professional | None | $794.33 | $1,000.00 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,412.54 | Professional | None | $676.08 | $912.01 | $1,412.54 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
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 6.1 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 $14,160MT $2,323
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.