How much rates vary
Facilitymedian $977 · 10th to 90th $589 to $5,129Professionalmedian $1,148 · 10th to 90th $141 to $2,239
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 $1,513.56 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,513.56 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,513.56 | $1,659.59 |
Ambetter Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $6,760.83 | Facility | None | $776.25 | $776.25 | $6,760.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,737.80 Median $8,317.64 Typical High $8,912.51 | Professional | None | $1,737.80 | $8,317.64 | $8,912.51 |
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 $1,174.90 Median $1,318.26 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,318.26 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,000.00 | $1,659.59 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $1,047.13 Typical High $2,137.96 | Professional | None | $131.83 | $1,047.13 | $2,137.96 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $2,187.76 | Facility | None | $1,288.25 | $2,089.30 | $2,187.76 |
Premera BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Premera BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,737.80 | $1,737.80 | $2,454.71 |
United Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,584.89 | Facility | None | $524.81 | $758.58 | $1,584.89 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $2,884.03 | Professional | None | $1,258.93 | $1,548.82 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,380.38 | $2,089.30 |
1 more rate 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 78 · Unplanned return to OR Typical Low $812.83 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $812.83 | $1,047.13 | $1,047.13 |
Where Washington sits
The same service costs 15.9 times more in Maine than in Maryland. 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 $27,116MD $1,710
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.