How much rates vary
Facilitymedian $15,488 · 10th to 90th $1,318 to $56,234Professionalmedian $2,042 · 10th to 90th $1,549 to $12,589
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 $6,456.54 Typical High $20,892.96 | Facility | None | $1,548.82 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,288.25 | $1,548.82 | $1,548.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,096.48 Median $48,977.88 Typical High $100,000.00 | Facility | None | $1,096.48 | $48,977.88 | $100,000.00 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,041.74 Median $10,232.93 Typical High $12,589.25 | Professional | None | $2,041.74 | $10,232.93 | $12,589.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $15,488.17 Typical High $28,840.32 | Facility | None | $707.95 | $15,488.17 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12,882.50 Median $15,135.61 Typical High $25,703.96 | Professional | None | $12,882.50 | $15,135.61 | $25,703.96 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | None | $44.67 | $44.67 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $35,481.34 | Facility | None | $2,041.74 | $2,818.38 | $35,481.34 |
Premera BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $18,197.01 Typical High $32,359.37 | Facility | None | $1,047.13 | $18,197.01 | $32,359.37 |
Premera BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $37,153.52 Median $50,118.72 Typical High $95,499.26 | Facility | None | $37,153.52 | $50,118.72 | $95,499.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,041.74 | $3,630.78 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $12,882.50 Typical High $64,565.42 | Facility | None | $5,754.40 | $12,882.50 | $64,565.42 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $4,365.16 | Professional | None | $1,584.89 | $2,137.96 | $4,365.16 |
Wellpoint Setting Professional Modifier None Typical Low $1,380.38 Median $7,762.47 Typical High $7,762.47 | Professional | None | $1,380.38 | $7,762.47 | $7,762.47 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $154.88 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $56,234.13 Median $75,857.76 Typical High $144,543.98 | Facility | 50 · Both sides | $56,234.13 | $75,857.76 | $144,543.98 |
Where Washington sits
The same service costs 6.9 times more in Arkansas 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.
Washington· 10th of 51
$2,884
AR $8,318KY $1,202
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.