How much rates vary
Facilitymedian $21,878 · 10th to 90th $708 to $77,625Professionalmedian $550 · 10th to 90th $407 to $3,020
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 $407.38 Median $12,589.25 Typical High $24,547.09 | Facility | None | $407.38 | $12,589.25 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | None | $407.38 | $407.38 | $446.68 |
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 $537.03 Median $1,096.48 Typical High $3,019.95 | Professional | None | $537.03 | $1,096.48 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $23,988.33 Typical High $44,668.36 | Facility | None | $707.95 | $23,988.33 | $44,668.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21,379.62 Median $30,902.95 Typical High $44,668.36 | Professional | None | $21,379.62 | $30,902.95 | $44,668.36 |
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 $489.78 Median $707.95 Typical High $32,359.37 | Facility | None | $489.78 | $707.95 | $32,359.37 |
Premera BCBS Setting Facility Modifier None Typical Low $14,791.08 Median $20,417.38 Typical High $31,622.78 | Facility | None | $14,791.08 | $20,417.38 | $31,622.78 |
Premera BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
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 $537.03 Median $707.95 Typical High $1,047.13 | Professional | None | $537.03 | $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 $501.19 Median $676.08 Typical High $1,148.15 | Professional | None | $501.19 | $676.08 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $204.17 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Where Washington sits
The same service costs 57.5 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· 24th of 51
$1,622
AR $17,783NY $309
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.