How much rates vary
Facilitymedian $8,913 · 10th to 90th $708 to $38,905Professionalmedian $501 · 10th to 90th $355 to $3,162
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 $354.81 Median $11,220.18 Typical High $21,877.62 | Facility | None | $354.81 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | None | $354.81 | $354.81 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $275.42 Median $30,199.52 Typical High $61,659.50 | Facility | None | $275.42 | $30,199.52 | $61,659.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $467.74 Median $1,047.13 Typical High $3,162.28 | Professional | None | $467.74 | $1,047.13 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $9,549.93 Typical High $17,782.79 | Facility | None | $707.95 | $9,549.93 | $17,782.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8,511.38 Median $12,302.69 Typical High $17,782.79 | Professional | None | $8,511.38 | $12,302.69 | $17,782.79 |
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 $478.63 Median $707.95 Typical High $9,332.54 | Facility | None | $478.63 | $707.95 | $9,332.54 |
Premera BCBS Setting Facility Modifier None Typical Low $457.09 Median $7,413.10 Typical High $11,748.98 | Facility | None | $457.09 | $7,413.10 | $11,748.98 |
Premera BCBS Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $21,379.62 Median $30,902.95 Typical High $58,884.37 | Facility | None | $21,379.62 | $30,902.95 | $58,884.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,023.29 | Professional | None | $467.74 | $724.44 | $1,023.29 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $40,738.03 | Facility | None | $3,801.89 | $7,244.36 | $40,738.03 |
United Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $1,096.48 | Professional | None | $407.38 | $549.54 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $426.58 Typical High $616.60 | Professional | None | $407.38 | $426.58 | $616.60 |
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 $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $35.48 |
Where Washington sits
The same service costs 15.8 times more in Arkansas 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· 24th of 51
$891
AR $6,918ME $437
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.