How much rates vary
Facilitymedian $21,878 · 10th to 90th $741 to $85,114Professionalmedian $741 · 10th to 90th $501 to $3,715
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 $501.19 Median $11,220.18 Typical High $21,877.62 | Facility | None | $501.19 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | None | $501.19 | $501.19 | $549.54 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $478.63 Median $66,069.34 Typical High $134,896.29 | Facility | None | $478.63 | $66,069.34 | $134,896.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $660.69 Median $1,479.11 Typical High $5,623.41 | Professional | None | $660.69 | $1,479.11 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $23,988.33 Typical High $44,668.36 | Facility | None | $707.95 | $23,988.33 | $44,668.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21,379.62 Median $30,902.95 Typical High $44,668.36 | Professional | None | $21,379.62 | $30,902.95 | $44,668.36 |
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 $676.08 Median $1,000.00 Typical High $11,748.98 | Facility | None | $676.08 | $1,000.00 | $11,748.98 |
Premera BCBS Setting Facility Modifier None Typical Low $645.65 Median $15,488.17 Typical High $24,547.09 | Facility | None | $645.65 | $15,488.17 | $24,547.09 |
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 $52,480.75 Median $69,183.10 Typical High $131,825.67 | Facility | None | $52,480.75 | $69,183.10 | $131,825.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,479.11 | Professional | None | $660.69 | $1,023.29 | $1,479.11 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $21,877.62 Typical High $87,096.36 | Facility | None | $6,025.60 | $21,877.62 | $87,096.36 |
United Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,584.89 | Professional | None | $616.60 | $831.76 | $1,584.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,230.27 | $1,258.93 |
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 $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 $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Where Washington sits
The same service costs 29.5 times more in Louisiana than in Maine. 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· 22nd of 51
$1,259
LA $16,982ME $575
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.