How much rates vary
Facilitymedian $1,000 · 10th to 90th $575 to $7,079Professionalmedian $646 · 10th to 90th $229 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 $380.19 Median $6,165.95 Typical High $20,892.96 | Facility | None | $380.19 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $691.83 | Professional | None | $204.17 | $257.04 | $691.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $933.25 Typical High $7,244.36 | Facility | None | $138.04 | $933.25 | $7,244.36 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $269.15 Median $912.01 Typical High $4,365.16 | Professional | None | $269.15 | $912.01 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,258.93 Typical High $2,238.72 | Facility | None | $630.96 | $1,258.93 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $436.52 Typical High $741.31 | Professional | None | $208.93 | $436.52 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $467.74 Typical High $1,445.44 | Professional | None | $199.53 | $467.74 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $741.31 Typical High $1,288.25 | Professional | None | $338.84 | $741.31 | $1,288.25 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $812.83 Typical High $891.25 | Facility | None | $380.19 | $812.83 | $891.25 |
Premera BCBS Setting Facility Modifier None Typical Low $416.87 Median $831.76 Typical High $1,479.11 | Facility | None | $416.87 | $831.76 | $1,479.11 |
Premera BCBS Setting Professional Modifier None Typical Low $229.09 Median $616.60 Typical High $616.60 | Professional | None | $229.09 | $616.60 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,715.35 Median $5,623.41 Typical High $10,471.29 | Facility | None | $3,715.35 | $5,623.41 | $10,471.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $549.54 Typical High $912.01 | Professional | None | $269.15 | $549.54 | $912.01 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $7,413.10 | Facility | None | $588.84 | $977.24 | $7,413.10 |
United Setting Professional Modifier None Typical Low $213.80 Median $457.09 Typical High $831.76 | Professional | None | $213.80 | $457.09 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $478.63 Typical High $1,122.02 | Professional | None | $151.36 | $478.63 | $1,122.02 |
5 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 $114.82 Median $177.83 Typical High $346.74 | Professional | 52 · Reduced service | $114.82 | $177.83 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $72.44 Typical High $138.04 | Professional | 53 · Discontinued | $45.71 | $72.44 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $269.15 Typical High $524.81 | Professional | 54 · Surgery only | $173.78 | $269.15 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $53.70 Typical High $104.71 | Professional | 55 · Aftercare only | $34.67 | $53.70 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $36.31 Typical High $69.18 | Professional | 56 · Pre-op care only | $22.91 | $36.31 | $69.18 |
Where Washington sits
The same service costs 5.4 times more in Colorado than in West Virginia. 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 $4,173WV $767
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.