How much rates vary
Facilitymedian $977 · 10th to 90th $525 to $4,571Professionalmedian $776 · 10th to 90th $245 to $1,585
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 $524.81 Median $5,128.61 Typical High $20,892.96 | Facility | None | $524.81 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $489.78 Typical High $870.96 | Professional | None | $251.19 | $489.78 | $870.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $123.03 Median $3,311.31 Typical High $6,760.83 | Facility | None | $123.03 | $3,311.31 | $6,760.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $288.40 Median $1,122.02 Typical High $5,370.32 | Professional | None | $288.40 | $1,122.02 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $954.99 Typical High $1,737.80 | Facility | None | $707.95 | $954.99 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $537.03 Typical High $933.25 | Professional | None | $223.87 | $537.03 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $691.83 Typical High $1,380.38 | Professional | None | $218.78 | $691.83 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $870.96 Typical High $1,548.82 | Professional | None | $380.19 | $870.96 | $1,548.82 |
Premera BCBS Setting Facility Modifier None Typical Low $436.52 Median $741.31 Typical High $1,288.25 | Facility | None | $436.52 | $741.31 | $1,288.25 |
Premera BCBS Setting Professional Modifier None Typical Low $245.47 Median $724.44 Typical High $758.58 | Professional | None | $245.47 | $724.44 | $758.58 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $6,456.54 | Facility | None | $2,290.87 | $3,467.37 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $288.40 Median $676.08 Typical High $1,122.02 | Professional | None | $288.40 | $676.08 | $1,122.02 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $4,677.35 | Facility | None | $588.84 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $234.42 Median $575.44 Typical High $1,071.52 | Professional | None | $234.42 | $575.44 | $1,071.52 |
Wellpoint Setting Professional Modifier None Typical Low $162.18 Median $588.84 Typical High $1,380.38 | Professional | None | $162.18 | $588.84 | $1,380.38 |
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 $123.03 Median $239.88 Typical High $436.52 | Professional | 52 · Reduced service | $123.03 | $239.88 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $97.72 Typical High $173.78 | Professional | 53 · Discontinued | $50.12 | $97.72 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $363.08 Typical High $660.69 | Professional | 54 · Surgery only | $186.21 | $363.08 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $72.44 Typical High $131.83 | Professional | 55 · Aftercare only | $37.15 | $72.44 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $48.98 Typical High $87.10 | Professional | 56 · Pre-op care only | $25.12 | $48.98 | $87.10 |
Where Washington sits
The same service costs 4.8 times more in Colorado 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
CO $4,327MD $911
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.