How much rates vary
Facilitymedian $1,000 · 10th to 90th $525 to $4,571Professionalmedian $1,148 · 10th to 90th $316 to $2,344
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 $316.23 Median $5,128.61 Typical High $20,892.96 | Facility | None | $316.23 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $1,288.25 | Professional | None | $316.23 | $501.19 | $1,288.25 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $158.49 Median $3,311.31 Typical High $6,760.83 | Facility | None | $158.49 | $3,311.31 | $6,760.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $1,659.59 Typical High $7,762.47 | Professional | None | $371.54 | $1,659.59 | $7,762.47 |
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 $281.84 Median $676.08 Typical High $1,348.96 | Professional | None | $281.84 | $676.08 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $794.33 Typical High $1,778.28 | Professional | None | $281.84 | $794.33 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $616.60 Median $1,288.25 Typical High $2,290.87 | Professional | None | $616.60 | $1,288.25 | $2,290.87 |
Pacific Source Setting Facility Modifier None Typical Low $933.25 Median $1,513.56 Typical High $1,659.59 | Facility | None | $933.25 | $1,513.56 | $1,659.59 |
Premera BCBS Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $1,174.90 | Facility | None | $436.52 | $645.65 | $1,174.90 |
Premera BCBS Setting Professional Modifier None Typical Low $316.23 Median $933.25 Typical High $1,122.02 | Professional | None | $316.23 | $933.25 | $1,122.02 |
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 $870.96 Typical High $1,659.59 | Professional | None | $371.54 | $870.96 | $1,659.59 |
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 $295.12 Median $776.25 Typical High $1,479.11 | Professional | None | $295.12 | $776.25 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $208.93 Median $870.96 Typical High $2,041.74 | Professional | None | $208.93 | $870.96 | $2,041.74 |
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 $158.49 Median $302.00 Typical High $630.96 | Professional | 52 · Reduced service | $158.49 | $302.00 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $120.23 Typical High $257.04 | Professional | 53 · Discontinued | $63.10 | $120.23 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $457.09 Typical High $954.99 | Professional | 54 · Surgery only | $239.88 | $457.09 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $91.20 Typical High $190.55 | Professional | 55 · Aftercare only | $47.86 | $91.20 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $60.26 Typical High $128.82 | Professional | 56 · Pre-op care only | $31.62 | $60.26 | $128.82 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 33 · Preventive service | $331.13 | $331.13 | $331.13 |
Where Washington sits
The same service costs 4.5 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 $4,433MD $985
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.