How much rates vary
Facilitymedian $2,692 · 10th to 90th $759 to $13,804Professionalmedian $741 · 10th to 90th $537 to $5,370
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 $794.33 Median $9,332.54 Typical High $21,877.62 | Facility | None | $794.33 | $9,332.54 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $588.84 | Professional | None | $537.03 | $537.03 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $575.44 Median $10,964.78 Typical High $22,387.21 | Facility | None | $575.44 | $10,964.78 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $707.95 Median $2,290.87 Typical High $7,079.46 | Professional | None | $707.95 | $2,290.87 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $5,370.32 | Facility | None | $707.95 | $2,818.38 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $4,897.79 | Professional | None | $2,454.71 | $3,388.44 | $4,897.79 |
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 $645.65 Median $2,137.96 Typical High $3,162.28 | Facility | None | $645.65 | $2,137.96 | $3,162.28 |
Premera BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $3,630.78 | Facility | None | $1,380.38 | $1,995.26 | $3,630.78 |
Premera BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,585.78 Median $11,481.54 Typical High $21,877.62 | Facility | None | $7,585.78 | $11,481.54 | $21,877.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,995.26 | Professional | None | $707.95 | $954.99 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $14,454.40 | Facility | None | $1,548.82 | $2,570.40 | $14,454.40 |
United Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $2,570.40 | Professional | None | $660.69 | $891.25 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,737.80 | Professional | None | $1,122.02 | $1,174.90 | $1,737.80 |
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 $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Where Washington sits
The same service costs 10.2 times more in Texas 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· 20th of 51
$1,622
TX $4,074NY $398
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.