How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $5,754Professionalmedian $1,549 · 10th to 90th $186 to $3,715
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 $2,691.53 Median $11,220.18 Typical High $21,877.62 | Facility | None | $2,691.53 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $2,951.21 | Professional | None | $1,905.46 | $2,691.53 | $2,951.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $12,022.64 | Facility | None | $1,348.96 | $1,348.96 | $12,022.64 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $15,848.93 | Professional | None | $3,090.30 | $4,677.35 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $2,691.53 | Facility | None | $707.95 | $891.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $4,786.30 | Professional | None | $2,137.96 | $2,344.23 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $3,019.95 Typical High $4,897.79 | Professional | None | $1,778.28 | $3,019.95 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $1,445.44 Typical High $3,630.78 | Professional | None | $181.97 | $1,445.44 | $3,630.78 |
Pacific Source Setting Facility Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $3,890.45 | Facility | None | $2,290.87 | $3,715.35 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Premera BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,365.16 | Professional | None | $3,090.30 | $3,090.30 | $4,365.16 |
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 $2,238.72 Median $2,818.38 Typical High $5,128.61 | Professional | None | $2,238.72 | $2,818.38 | $5,128.61 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,398.83 | $3,715.35 |
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 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,862.09 | $1,862.09 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Where Washington sits
The same service costs 5.7 times more in Maine than in Washington. 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 $14,873WA $2,596
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.