How much rates vary
Facilitymedian $8,710 · 10th to 90th $724 to $40,738Professionalmedian $759 · 10th to 90th $589 to $3,802
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 $616.60 Median $9,549.93 Typical High $21,877.62 | Facility | None | $616.60 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | None | $616.60 | $616.60 | $660.69 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $30,199.52 Typical High $61,659.50 | Facility | None | $323.59 | $30,199.52 | $61,659.50 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $645.65 Median $1,258.93 Typical High $3,801.89 | Professional | None | $645.65 | $1,258.93 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $19,054.61 Typical High $35,481.34 | Facility | None | $707.95 | $19,054.61 | $35,481.34 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16,982.44 Median $23,988.33 Typical High $35,481.34 | Professional | None | $16,982.44 | $23,988.33 | $35,481.34 |
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 $380.19 Median $426.58 Typical High $15,135.61 | Facility | None | $380.19 | $426.58 | $15,135.61 |
Premera BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $7,585.78 Typical High $13,803.84 | Facility | None | $5,888.44 | $7,585.78 | $13,803.84 |
Premera BCBS Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $23,988.33 Median $30,902.95 Typical High $58,884.37 | Facility | None | $23,988.33 | $30,902.95 | $58,884.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,230.27 | Professional | None | $645.65 | $851.14 | $1,230.27 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $75,857.76 | Facility | None | $3,801.89 | $7,244.36 | $75,857.76 |
United Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,412.54 | Professional | None | $741.31 | $977.24 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $870.96 | Professional | None | $575.44 | $602.56 | $870.96 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Where Washington sits
The same service costs 27.5 times more in Oklahoma than in New York. 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
$1,445
OK $14,454NY $525
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.