How much rates vary
Facilitymedian $1,905 · 10th to 90th $933 to $12,023Professionalmedian $617 · 10th to 90th $98 to $1,349
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 $630.96 Median $1,737.80 Typical High $21,877.62 | Facility | None | $630.96 | $1,737.80 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,023.29 | Professional | None | $562.34 | $724.44 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $354.81 Median $2,630.27 Typical High $12,302.69 | Facility | None | $354.81 | $2,630.27 | $12,302.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $5,888.44 | Professional | None | $676.08 | $1,258.93 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,290.87 Typical High $4,265.80 | Facility | None | $1,380.38 | $2,290.87 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,288.25 | Professional | None | $588.84 | $812.83 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $1,288.25 Typical High $2,951.21 | Professional | None | $575.44 | $1,288.25 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $501.19 Typical High $1,288.25 | Professional | None | $85.11 | $501.19 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,380.38 | Facility | None | $776.25 | $1,288.25 | $1,380.38 |
Premera BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,584.89 Typical High $2,691.53 | Facility | None | $912.01 | $1,584.89 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None | $691.83 | $691.83 | $912.01 |
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 $676.08 Median $912.01 Typical High $1,380.38 | Professional | None | $676.08 | $912.01 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $12,882.50 | Facility | None | $1,202.26 | $1,949.84 | $12,882.50 |
United Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $1,548.82 | Professional | None | $602.56 | $870.96 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,000.00 | Professional | None | $478.63 | $707.95 | $1,000.00 |
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 $316.23 Median $354.81 Typical High $446.68 | Professional | 52 · Reduced service | $316.23 | $354.81 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $141.25 Typical High $177.83 | Professional | 53 · Discontinued | $125.89 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $524.81 Typical High $676.08 | Professional | 54 · Surgery only | $478.63 | $524.81 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $134.90 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $70.79 Typical High $89.13 | Professional | 56 · Pre-op care only | $63.10 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $489.78 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $446.68 | $489.78 | $630.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,332.54 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $9,332.54 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 3.8 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 $6,613MT $1,749
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.