How much rates vary
Facilitymedian $2,951 · 10th to 90th $708 to $14,454Professionalmedian $339 · 10th to 90th $234 to $2,188
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 $234.42 Median $11,220.18 Typical High $21,877.62 | Facility | None | $234.42 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | None | $234.42 | $234.42 | $257.04 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $186.21 Median $10,964.78 Typical High $22,387.21 | Facility | None | $186.21 | $10,964.78 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $331.13 Median $707.95 Typical High $2,187.76 | Professional | None | $331.13 | $707.95 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,691.53 Typical High $5,011.87 | Facility | None | $707.95 | $2,691.53 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $4,897.79 | Professional | None | $2,344.23 | $3,388.44 | $4,897.79 |
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 $363.08 Median $478.63 Typical High $2,630.27 | Facility | None | $363.08 | $478.63 | $2,630.27 |
Premera BCBS Setting Facility Modifier None Typical Low $323.59 Median $1,819.70 Typical High $2,884.03 | Facility | None | $323.59 | $1,819.70 | $2,884.03 |
Premera BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,709.64 Median $11,481.54 Typical High $21,877.62 | Facility | None | $8,709.64 | $11,481.54 | $21,877.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $707.95 | Professional | None | $331.13 | $489.78 | $707.95 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $14,454.40 | Facility | None | $1,548.82 | $2,570.40 | $14,454.40 |
United Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $724.44 | Professional | None | $288.40 | $389.05 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $117.49 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 54 · Surgery only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $23.44 |
Where Washington sits
The same service costs 10.7 times more in Colorado 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· 21st of 51
$708
CO $2,512ME $234
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.