How much rates vary
Facilitymedian $1,047 · 10th to 90th $589 to $6,166Professionalmedian $1,413 · 10th to 90th $155 to $2,692
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 $1,548.82 Median $12,589.25 Typical High $24,547.09 | Facility | None | $1,548.82 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,584.89 | Professional | None | $1,548.82 | $1,548.82 | $1,584.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $7,413.10 | Facility | None | $812.83 | $812.83 | $7,413.10 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,659.59 Median $3,090.30 Typical High $10,471.29 | Professional | None | $1,659.59 | $3,090.30 | $10,471.29 |
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 $1,445.44 Median $1,621.81 Typical High $3,467.37 | Professional | None | $1,445.44 | $1,621.81 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $3,090.30 | Professional | None | $1,513.56 | $2,454.71 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $1,318.26 Typical High $2,691.53 | Professional | None | $154.88 | $1,318.26 | $2,691.53 |
Pacific Source Setting Facility Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $2,398.83 | Facility | None | $1,698.24 | $2,344.23 | $2,398.83 |
Premera BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Facility | None | $1,621.81 | $1,621.81 | $1,659.59 |
Premera BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,659.59 | $2,398.83 | $3,235.94 |
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 $1,513.56 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,513.56 | $2,041.74 | $3,801.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,479.11 | $1,548.82 | $2,238.72 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,096.48 |
Where Washington sits
The same service costs 13.1 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 $24,607MD $1,881
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.