How much rates vary
Facilitymedian $2,291 · 10th to 90th $708 to $7,413Professionalmedian $316 · 10th to 90th $204 to $1,778
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 $204.17 Median $6,165.95 Typical High $20,892.96 | Facility | None | $204.17 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | None | $204.17 | $204.17 | $223.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $6,025.60 Typical High $11,748.98 | Facility | None | $190.55 | $6,025.60 | $11,748.98 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $269.15 Median $758.58 Typical High $2,187.76 | Professional | None | $269.15 | $758.58 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $3,715.35 | Facility | None | $707.95 | $1,995.26 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,801.89 | Professional | None | $1,659.59 | $2,398.83 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $1,949.84 | Facility | None | $223.87 | $416.87 | $1,949.84 |
Premera BCBS Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,905.46 | Facility | None | $741.31 | $1,047.13 | $1,905.46 |
Premera BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $11,220.18 | Facility | None | $4,365.16 | $5,888.44 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $676.08 | Professional | None | $269.15 | $426.58 | $676.08 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $8,317.64 | Facility | None | $2,089.30 | $3,548.13 | $8,317.64 |
United Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $741.31 | Professional | None | $251.19 | $346.74 | $741.31 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $346.74 | Professional | None | $154.88 | $245.47 | $346.74 |
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 $102.33 Median $102.33 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | 53 · Discontinued | $40.74 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | 54 · Surgery only | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $22.39 |
Where Washington sits
The same service costs 19.5 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· 14th of 51
$617
TX $1,778NY $91.20
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.