How much rates vary
Facilitymedian $1,862 · 10th to 90th $676 to $12,023Professionalmedian $1,047 · 10th to 90th $219 to $1,995
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 $223.87 Median $4,677.35 Typical High $20,417.38 | Facility | None | $223.87 | $4,677.35 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $489.78 Typical High $1,096.48 | Professional | None | $223.87 | $489.78 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $239.88 | Professional | None | $144.54 | $239.88 | $239.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $138.04 Median $933.25 Typical High $13,489.63 | Facility | None | $138.04 | $933.25 | $13,489.63 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $234.42 Median $1,122.02 Typical High $8,912.51 | Professional | None | $234.42 | $1,122.02 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,187.76 Typical High $4,073.80 | Facility | None | $630.96 | $2,187.76 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $575.44 Typical High $1,862.09 | Professional | None | $208.93 | $575.44 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $1,445.44 Typical High $3,311.31 | Professional | None | $323.59 | $1,445.44 | $3,311.31 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $1,202.26 Typical High $2,041.74 | Professional | None | $204.17 | $1,202.26 | $2,041.74 |
Pacific Source Setting Facility Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,479.11 | Facility | None | $831.76 | $1,258.93 | $1,479.11 |
Premera BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,621.81 Typical High $2,884.03 | Facility | None | $891.25 | $1,621.81 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $1,023.29 | Professional | None | $234.42 | $234.42 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $10,000.00 Typical High $19,498.45 | Facility | None | $6,760.83 | $10,000.00 | $19,498.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $891.25 Typical High $1,819.70 | Professional | None | $234.42 | $891.25 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $13,803.84 | Facility | None | $1,202.26 | $1,949.84 | $13,803.84 |
United Setting Professional Modifier None Typical Low $234.42 Median $660.69 Typical High $1,995.26 | Professional | None | $234.42 | $660.69 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $1,071.52 | Professional | None | $204.17 | $302.00 | $1,071.52 |
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 $109.65 Median $245.47 Typical High $549.54 | Professional | 52 · Reduced service | $109.65 | $245.47 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $97.72 Typical High $218.78 | Professional | 53 · Discontinued | $44.67 | $97.72 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $363.08 Typical High $831.76 | Professional | 54 · Surgery only | $165.96 | $363.08 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $72.44 Typical High $165.96 | Professional | 55 · Aftercare only | $33.11 | $72.44 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $48.98 Typical High $109.65 | Professional | 56 · Pre-op care only | $22.39 | $48.98 | $109.65 |
Where Washington sits
The same service costs 4.0 times more in Colorado than in Montana. 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 $5,041MT $1,267
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.