How much rates vary
Facilitymedian $617 · 10th to 90th $275 to $2,818Professionalmedian $407 · 10th to 90th $309 to $2,291
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 $416.87 Median $6,165.95 Typical High $20,892.96 | Facility | None | $416.87 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $512.86 | Professional | None | $309.03 | $309.03 | $512.86 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $229.09 Median $1,778.28 Typical High $3,630.78 | Facility | None | $229.09 | $1,778.28 | $3,630.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $407.38 Median $2,290.87 Typical High $2,818.38 | Professional | None | $407.38 | $2,290.87 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $707.95 Typical High $1,096.48 | Facility | None | $549.54 | $707.95 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $954.99 | Professional | None | $457.09 | $616.60 | $954.99 |
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 $288.40 Median $380.19 Typical High $549.54 | Facility | None | $288.40 | $380.19 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $331.13 Typical High $588.84 | Facility | None | $162.18 | $331.13 | $588.84 |
Premera BCBS Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,819.70 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $660.69 | Professional | None | $346.74 | $407.38 | $660.69 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,884.03 | Facility | None | $371.54 | $691.83 | $2,884.03 |
United Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $758.58 | Professional | None | $239.88 | $457.09 | $758.58 |
Wellpoint Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $524.81 | Professional | None | $323.59 | $426.58 | $524.81 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $30.90 |
Where Washington sits
The same service costs 8.3 times more in Oklahoma than in Rhode Island. 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· 18th of 51
$457
OK $1,514RI $182
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.