How much rates vary
Facilitymedian $871 · 10th to 90th $525 to $4,571Professionalmedian $617 · 10th to 90th $309 to $1,259
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 $323.59 Median $3,981.07 Typical High $20,417.38 | Facility | None | $323.59 | $3,981.07 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $645.65 | Professional | None | $323.59 | $446.68 | $645.65 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $1,148.15 Typical High $4,570.88 | Facility | None | $190.55 | $1,148.15 | $4,570.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $870.96 Typical High $4,168.69 | Professional | None | $371.54 | $870.96 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $912.01 Typical High $1,698.24 | Facility | None | $630.96 | $912.01 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $489.78 Typical High $758.58 | Professional | None | $288.40 | $489.78 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $602.56 Typical High $1,258.93 | Professional | None | $295.12 | $602.56 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $281.84 Median $676.08 Typical High $1,174.90 | Professional | None | $281.84 | $676.08 | $1,174.90 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $812.83 Typical High $912.01 | Facility | None | $562.34 | $812.83 | $912.01 |
Premera BCBS Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $1,096.48 | Facility | None | $407.38 | $630.96 | $1,096.48 |
Premera BCBS Setting Professional Modifier None Typical Low $323.59 Median $588.84 Typical High $588.84 | Professional | None | $323.59 | $588.84 | $588.84 |
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 $371.54 Median $645.65 Typical High $870.96 | Professional | None | $371.54 | $645.65 | $870.96 |
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 $302.00 Median $524.81 Typical High $851.14 | Professional | None | $302.00 | $524.81 | $851.14 |
Wellpoint Setting Professional Modifier None Typical Low $208.93 Median $457.09 Typical High $1,047.13 | Professional | None | $208.93 | $457.09 | $1,047.13 |
6 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 $162.18 Median $208.93 Typical High $323.59 | Professional | 52 · Reduced service | $162.18 | $208.93 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $83.18 Typical High $128.82 | Professional | 53 · Discontinued | $64.57 | $83.18 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $309.03 Typical High $478.63 | Professional | 54 · Surgery only | $239.88 | $309.03 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $61.66 Typical High $95.50 | Professional | 55 · Aftercare only | $48.98 | $61.66 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $41.69 Typical High $64.57 | Professional | 56 · Pre-op care only | $32.36 | $41.69 | $64.57 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 33 · Preventive service | $398.11 | $398.11 | $398.11 |
Where Washington sits
The same service costs 4.3 times more in Colorado than in North Dakota. 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 $4,191ND $964
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.