How much rates vary
Facilitymedian $1,349 · 10th to 90th $589 to $7,413Professionalmedian $1,023 · 10th to 90th $302 to $2,089
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 $302.00 Median $5,128.61 Typical High $18,620.87 | Facility | None | $302.00 | $5,128.61 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $660.69 Typical High $1,148.15 | Professional | None | $275.42 | $660.69 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $354.81 Typical High $354.81 | Professional | None | $204.17 | $354.81 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $147.91 Median $5,370.32 Typical High $10,964.78 | Facility | None | $147.91 | $5,370.32 | $10,964.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $346.74 Median $1,445.44 Typical High $6,918.31 | Professional | None | $346.74 | $1,445.44 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $3,090.30 | Facility | None | $707.95 | $1,659.59 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $660.69 Typical High $1,230.27 | Professional | None | $275.42 | $660.69 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $831.76 Typical High $2,041.74 | Professional | None | $275.42 | $831.76 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $1,174.90 Typical High $2,041.74 | Professional | None | $512.86 | $1,174.90 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,479.11 | Facility | None | $1,071.52 | $1,348.96 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $1,905.46 | Facility | None | $588.84 | $977.24 | $1,905.46 |
Premera BCBS Setting Professional Modifier None Typical Low $302.00 Median $891.25 Typical High $1,000.00 | Professional | None | $302.00 | $891.25 | $1,000.00 |
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 $346.74 Median $891.25 Typical High $1,445.44 | Professional | None | $346.74 | $891.25 | $1,445.44 |
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 $288.40 Median $724.44 Typical High $1,380.38 | Professional | None | $288.40 | $724.44 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $776.25 Typical High $1,819.70 | Professional | None | $199.53 | $776.25 | $1,819.70 |
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 $151.36 Median $331.13 Typical High $575.44 | Professional | 52 · Reduced service | $151.36 | $331.13 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $131.83 Typical High $229.09 | Professional | 53 · Discontinued | $60.26 | $131.83 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $489.78 Typical High $851.14 | Professional | 54 · Surgery only | $229.09 | $489.78 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $97.72 Typical High $169.82 | Professional | 55 · Aftercare only | $45.71 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $66.07 Typical High $114.82 | Professional | 56 · Pre-op care only | $30.20 | $66.07 | $114.82 |
Where Washington sits
The same service costs 3.4 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 $4,463WV $1,326
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.