How much rates vary
Facilitymedian $4,074 · 10th to 90th $776 to $22,909Professionalmedian $741 · 10th to 90th $138 to $1,622
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 $776.25 Median $3,890.45 Typical High $20,417.38 | Facility | None | $776.25 | $3,890.45 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,096.48 | Professional | None | $758.58 | $851.14 | $1,096.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $436.52 Median $1,148.15 Typical High $27,542.29 | Facility | None | $436.52 | $1,148.15 | $27,542.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $831.76 Median $1,548.82 Typical High $7,585.78 | Professional | None | $831.76 | $1,548.82 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,677.35 Typical High $8,709.64 | Facility | None | $630.96 | $4,677.35 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,584.89 | Professional | None | $724.44 | $1,000.00 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,548.82 Typical High $6,606.93 | Professional | None | $724.44 | $1,548.82 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $602.56 Typical High $1,548.82 | Professional | None | $128.82 | $602.56 | $1,548.82 |
Pacific Source Setting Facility Modifier None Typical Low $954.99 Median $1,548.82 Typical High $1,659.59 | Facility | None | $954.99 | $1,548.82 | $1,659.59 |
Premera BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,630.78 Typical High $6,025.60 | Facility | None | $1,819.70 | $3,630.78 | $6,025.60 |
Premera BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,148.15 | Professional | None | $851.14 | $851.14 | $1,148.15 |
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 $831.76 Median $1,122.02 Typical High $1,737.80 | Professional | None | $831.76 | $1,122.02 | $1,737.80 |
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 $741.31 Median $1,071.52 Typical High $1,949.84 | Professional | None | $741.31 | $1,071.52 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,258.93 | Professional | None | $588.84 | $891.25 | $1,258.93 |
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 $389.05 Median $426.58 Typical High $549.54 | Professional | 52 · Reduced service | $389.05 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $169.82 Typical High $218.78 | Professional | 53 · Discontinued | $154.88 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $645.65 Typical High $812.83 | Professional | 54 · Surgery only | $575.44 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $128.82 Typical High $162.18 | Professional | 55 · Aftercare only | $114.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $85.11 Typical High $109.65 | Professional | 56 · Pre-op care only | $77.62 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $602.56 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $537.03 | $602.56 | $758.58 |
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 6.4 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 $13,774MT $2,152
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.