How much rates vary
Facilitymedian $4,169 · 10th to 90th $832 to $38,905Professionalmedian $1,096 · 10th to 90th $437 to $5,888
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 $602.56 Median $11,220.18 Typical High $21,877.62 | Facility | None | $602.56 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $676.08 | Professional | None | $602.56 | $602.56 | $676.08 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $537.03 Median $28,183.83 Typical High $61,659.50 | Facility | None | $537.03 | $28,183.83 | $61,659.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,000.00 Median $2,344.23 Typical High $6,309.57 | Professional | None | $1,000.00 | $2,344.23 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,606.93 Typical High $12,302.69 | Facility | None | $707.95 | $6,606.93 | $12,302.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,888.44 Median $8,317.64 Typical High $12,302.69 | Professional | None | $5,888.44 | $8,317.64 | $12,302.69 |
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 $1,230.27 Median $1,479.11 Typical High $5,495.41 | Facility | None | $1,230.27 | $1,479.11 | $5,495.41 |
Premera BCBS Setting Facility Modifier None Typical Low $891.25 Median $2,344.23 Typical High $3,715.35 | Facility | None | $891.25 | $2,344.23 | $3,715.35 |
Premera BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,882.50 Median $30,199.52 Typical High $58,884.37 | Facility | None | $12,882.50 | $30,199.52 | $58,884.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,230.27 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $40,738.03 | Facility | None | $1,548.82 | $2,570.40 | $40,738.03 |
United Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $2,570.40 | Professional | None | $426.58 | $616.60 | $2,570.40 |
Wellpoint Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
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 $302.00 Median $302.00 Typical High $309.03 | Professional | 52 · Reduced service | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $61.66 |
Where Washington sits
The same service costs 14.8 times more in Texas 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· 15th of 51
$1,549
TX $5,129ME $347
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.