How much rates vary
Facilitymedian $4,365 · 10th to 90th $794 to $17,783Professionalmedian $1,096 · 10th to 90th $794 to $6,918
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 $11,220.18 Typical High $21,877.62 | Facility | None | $794.33 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | None | $794.33 | $794.33 | $870.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $602.56 Median $14,791.08 Typical High $30,199.52 | Facility | None | $602.56 | $14,791.08 | $30,199.52 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,047.13 Median $5,623.41 Typical High $6,918.31 | Professional | None | $1,047.13 | $5,623.41 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,128.61 Typical High $9,549.93 | Facility | None | $707.95 | $5,128.61 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,511.38 | Professional | None | $4,265.80 | $5,011.87 | $8,511.38 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $741.31 Median $4,365.16 Typical High $6,165.95 | Facility | None | $741.31 | $4,365.16 | $6,165.95 |
Premera BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $6,456.54 | Facility | None | $2,290.87 | $3,467.37 | $6,456.54 |
Premera BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $15,135.61 Typical High $28,840.32 | Facility | None | $10,232.93 | $15,135.61 | $28,840.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,047.13 | $1,949.84 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $20,892.96 | Facility | None | $2,089.30 | $3,548.13 | $20,892.96 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $2,454.71 | Professional | None | $954.99 | $1,096.48 | $2,454.71 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,096.48 | $2,630.27 | $2,630.27 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Where Washington sits
The same service costs 5.1 times more in Texas than in Delaware. 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· 11th of 51
$1,778
TX $3,981DE $776
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.