How much rates vary
Facilitymedian $2,951 · 10th to 90th $724 to $23,988Professionalmedian $603 · 10th to 90th $145 to $1,148
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 $588.84 Median $7,943.28 Typical High $21,877.62 | Facility | None | $588.84 | $7,943.28 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $851.14 | Professional | None | $398.11 | $588.84 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $281.84 Median $19,054.61 Typical High $39,810.72 | Facility | None | $281.84 | $19,054.61 | $39,810.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $602.56 Median $1,071.52 Typical High $3,235.94 | Professional | None | $602.56 | $1,071.52 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,311.31 Typical High $6,309.57 | Facility | None | $707.95 | $3,311.31 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $1,258.93 | Professional | None | $524.81 | $588.84 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $1,122.02 Typical High $5,128.61 | Professional | None | $676.08 | $1,122.02 | $5,128.61 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $588.84 Typical High $1,047.13 | Professional | None | $100.00 | $588.84 | $1,047.13 |
Pacific Source Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $870.96 | Facility | None | $512.86 | $851.14 | $870.96 |
Premera BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $4,168.69 | Facility | None | $1,698.24 | $2,454.71 | $4,168.69 |
Premera BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,125.38 Median $19,952.62 Typical High $38,018.94 | Facility | None | $14,125.38 | $19,952.62 | $38,018.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $891.25 Typical High $1,230.27 | Professional | None | $602.56 | $891.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $27,542.29 | Facility | None | $1,548.82 | $2,691.53 | $27,542.29 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,380.38 | Professional | None | $549.54 | $758.58 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $758.58 | Professional | None | $501.19 | $524.81 | $758.58 |
6 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 $295.12 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $295.12 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | 53 · Discontinued | $117.49 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $446.68 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $66.07 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $21,379.62 Median $30,199.52 Typical High $56,234.13 | Facility | 50 · Both sides | $21,379.62 | $30,199.52 | $56,234.13 |
Where Washington sits
The same service costs 8.9 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 $11,610MT $1,306
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.