How much rates vary
Facilitymedian $3,981 · 10th to 90th $871 to $11,220Professionalmedian $1,000 · 10th to 90th $98 to $2,138
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 $1,479.11 Median $11,220.18 Typical High $20,892.96 | Facility | None | $1,479.11 | $11,220.18 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,122.02 | $1,479.11 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $22,387.21 | Facility | None | $758.58 | $891.25 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,778.28 Median $7,762.47 Typical High $8,709.64 | Professional | None | $1,778.28 | $7,762.47 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $16,595.87 | Facility | None | $707.95 | $812.83 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $2,754.23 | Professional | None | $1,258.93 | $1,318.26 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,047.13 | $2,041.74 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $891.25 Typical High $2,041.74 | Professional | None | $93.33 | $891.25 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $2,187.76 | Facility | None | $1,584.89 | $2,089.30 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $9,332.54 | Facility | None | $2,884.03 | $4,677.35 | $9,332.54 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $25,703.96 | Facility | None | $15,135.61 | $15,135.61 | $25,703.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,570.40 | Professional | None | $1,778.28 | $1,778.28 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $4,365.16 Typical High $10,715.19 | Facility | None | $2,511.89 | $4,365.16 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,318.26 | $1,584.89 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,949.84 | Professional | None | $977.24 | $1,318.26 | $1,949.84 |
2 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 54 · Surgery only Typical Low $954.99 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $954.99 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $891.25 | $1,047.13 | $1,047.13 |
Where Washington sits
The same service costs 8.7 times more in Maine than in Kentucky. 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
ME $27,149KY $3,127
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.