How much rates vary
Facilitymedian $4,898 · 10th to 90th $832 to $24,547Professionalmedian $708 · 10th to 90th $513 to $4,467
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 $512.86 Median $11,220.18 Typical High $21,877.62 | Facility | None | $512.86 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | None | $512.86 | $512.86 | $562.34 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $389.05 Median $19,952.62 Typical High $41,686.94 | Facility | None | $389.05 | $19,952.62 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $3,630.78 Typical High $4,466.84 | Professional | None | $676.08 | $3,630.78 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,309.57 Typical High $11,748.98 | Facility | None | $707.95 | $6,309.57 | $11,748.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $10,471.29 | Professional | None | $5,370.32 | $7,244.36 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $50.12 | Professional | None | $44.67 | $44.67 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $676.08 Median $1,023.29 Typical High $7,943.28 | Facility | None | $676.08 | $1,023.29 | $7,943.28 |
Premera BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $5,011.87 Typical High $8,511.38 | Facility | None | $3,388.44 | $5,011.87 | $8,511.38 |
Premera BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $39,810.72 | Facility | None | $15,848.93 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,096.48 | Professional | None | $676.08 | $676.08 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $28,183.83 | Facility | None | $1,202.26 | $1,949.84 | $28,183.83 |
United Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,380.38 | Professional | None | $575.44 | $707.95 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
6 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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $51.29 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $23,988.33 Median $31,622.78 Typical High $58,884.37 | Facility | 50 · Both sides | $23,988.33 | $31,622.78 | $58,884.37 |
Where Washington sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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· 29th of 51
$741
TX $3,631PA $501
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.