How much rates vary
Facilitymedian $174 · 10th to 90th $79 to $912Professionalmedian $138 · 10th to 90th $68 to $269
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 $107.15 Median $5,128.61 Typical High $20,892.96 | Facility | None | $107.15 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $107.15 Typical High $173.78 | Professional | None | $67.61 | $107.15 | $173.78 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $42.66 Median $562.34 Typical High $1,148.15 | Facility | None | $42.66 | $562.34 | $1,148.15 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $91.20 Median $162.18 Typical High $851.14 | Professional | None | $91.20 | $162.18 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $870.96 | Facility | None | $69.18 | $128.82 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $141.25 | Professional | None | $61.66 | $83.18 | $141.25 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $158.49 Typical High $251.19 | Professional | None | $27.54 | $158.49 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $77.62 Median $162.18 Typical High $204.17 | Facility | None | $77.62 | $162.18 | $204.17 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $186.21 | Facility | None | $79.43 | $109.65 | $186.21 |
Premera BCBS Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $138.04 | Professional | None | $89.13 | $89.13 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $588.84 Typical High $1,096.48 | Facility | None | $446.68 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $204.17 | Professional | None | $91.20 | $138.04 | $204.17 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | None | $134.90 | $346.74 | $812.83 |
United Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $251.19 | Professional | None | $87.10 | $138.04 | $251.19 |
Wellpoint Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $144.54 | Professional | None | $77.62 | $114.82 | $144.54 |
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 $33.88 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $33.88 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $13.49 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $81.28 Typical High $81.28 | Professional | 54 · Surgery only | $51.29 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $10.23 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.76 | $10.72 | $10.72 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 13th of 51
$138
AK $263VA $77.62
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.