How much rates vary
Facilitymedian $20,417 · 10th to 90th $661 to $109,648Professionalmedian $447 · 10th to 90th $85 to $759
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 $1,548.82 Median $11,220.18 Typical High $24,547.09 | Facility | None | $1,548.82 | $11,220.18 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | None | $416.87 | $416.87 | $436.52 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $213.80 Median $85,113.80 Typical High $165,958.69 | Facility | None | $213.80 | $85,113.80 | $165,958.69 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $457.09 Median $2,290.87 Typical High $2,454.71 | Professional | None | $457.09 | $2,290.87 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $912.01 | Professional | None | $389.05 | $426.58 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $54,954.09 | Professional | None | $549.54 | $870.96 | $54,954.09 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $416.87 Typical High $630.96 | Professional | None | $67.61 | $416.87 | $630.96 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $660.69 | Facility | None | $380.19 | $630.96 | $660.69 |
Premera BCBS Setting Facility Modifier None Typical Low $446.68 Median $31,622.78 Typical High $54,954.09 | Facility | None | $446.68 | $31,622.78 | $54,954.09 |
Premera BCBS Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $66,069.34 Median $85,113.80 Typical High $162,181.01 | Facility | None | $66,069.34 | $85,113.80 | $162,181.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $933.25 | Professional | None | $457.09 | $645.65 | $933.25 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $21,877.62 Typical High $112,201.85 | Facility | None | $6,025.60 | $21,877.62 | $112,201.85 |
United Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $1,023.29 | Professional | None | $407.38 | $549.54 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $562.34 | Professional | None | $380.19 | $398.11 | $562.34 |
4 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 $208.93 Median $208.93 Typical High $218.78 | Professional | 52 · Reduced service | $208.93 | $208.93 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | 53 · Discontinued | $83.18 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | 54 · Surgery only | $309.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $64.57 |
Where Washington sits
The same service costs 45.0 times more in New Mexico 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
NM $44,130MT $980
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.