How much rates vary
Facilitymedian $23,442 · 10th to 90th $741 to $77,625Professionalmedian $501 · 10th to 90th $372 to $2,951
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 $371.54 Median $12,589.25 Typical High $24,547.09 | Facility | None | $371.54 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Professional | None | $371.54 | $371.54 | $407.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $66,069.34 Typical High $134,896.29 | Facility | None | $257.04 | $66,069.34 | $134,896.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $489.78 Median $1,071.52 Typical High $2,951.21 | Professional | None | $489.78 | $1,071.52 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $25,118.86 Typical High $46,773.51 | Facility | None | $707.95 | $25,118.86 | $46,773.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22,387.21 Median $31,622.78 Typical High $46,773.51 | Professional | None | $22,387.21 | $31,622.78 | $46,773.51 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $602.56 Median $23,988.33 Typical High $33,884.42 | Facility | None | $602.56 | $23,988.33 | $33,884.42 |
Premera BCBS Setting Facility Modifier None Typical Low $15,488.17 Median $22,387.21 Typical High $40,738.03 | Facility | None | $15,488.17 | $22,387.21 | $40,738.03 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $52,480.75 Median $69,183.10 Typical High $131,825.67 | Facility | None | $52,480.75 | $69,183.10 | $131,825.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,047.13 | Professional | None | $489.78 | $707.95 | $1,047.13 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $21,877.62 Typical High $87,096.36 | Facility | None | $6,025.60 | $21,877.62 | $87,096.36 |
United Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $1,148.15 | Professional | None | $457.09 | $616.60 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $724.44 | Professional | None | $478.63 | $501.19 | $724.44 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $37.15 |
Where Washington sits
The same service costs 63.1 times more in Arkansas than in New York. 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· 23rd of 51
$1,738
AR $18,621NY $295
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.