How much rates vary
Facilitymedian $5,623 · 10th to 90th $933 to $22,387Professionalmedian $977 · 10th to 90th $145 to $2,138
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 $562.34 Median $6,165.95 Typical High $20,892.96 | Facility | None | $562.34 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,202.26 | Professional | None | $562.34 | $758.58 | $1,202.26 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $309.03 Median $19,054.61 Typical High $39,810.72 | Facility | None | $309.03 | $19,054.61 | $39,810.72 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $616.60 Median $1,318.26 Typical High $8,317.64 | Professional | None | $616.60 | $1,318.26 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,918.31 Typical High $12,022.64 | Facility | None | $707.95 | $6,918.31 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,412.54 | Professional | None | $537.03 | $851.14 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $1,288.25 Typical High $9,120.11 | Professional | None | $588.84 | $1,288.25 | $9,120.11 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $977.24 Typical High $2,089.30 | Professional | None | $128.82 | $977.24 | $2,089.30 |
Pacific Source Setting Facility Modifier None Typical Low $977.24 Median $1,513.56 Typical High $1,819.70 | Facility | None | $977.24 | $1,513.56 | $1,819.70 |
Premera BCBS Setting Facility Modifier None Typical Low $933.25 Median $5,370.32 Typical High $8,709.64 | Facility | None | $933.25 | $5,370.32 | $8,709.64 |
Premera BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,230.27 | Professional | None | $616.60 | $616.60 | $1,230.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $13,803.84 Median $19,952.62 Typical High $38,018.94 | Facility | None | $13,803.84 | $19,952.62 | $38,018.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $1,258.93 Typical High $1,819.70 | Professional | None | $616.60 | $1,258.93 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,897.79 Typical High $25,118.86 | Facility | None | $2,754.23 | $4,897.79 | $25,118.86 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,047.13 Typical High $1,949.84 | Professional | None | $575.44 | $1,047.13 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $954.99 Typical High $1,380.38 | Professional | None | $407.38 | $954.99 | $1,380.38 |
3 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 54 · Surgery only Typical Low $426.58 Median $575.44 Typical High $891.25 | Professional | 54 · Surgery only | $426.58 | $575.44 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $537.03 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $398.11 | $537.03 | $831.76 |
Ambetter Setting Professional Modifier 22 · Increased work Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 22 · Increased work | $758.58 | $758.58 | $758.58 |
Where Washington sits
The same service costs 8.6 times more in Colorado than in Kentucky. 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 $14,248KY $1,661
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.