How much rates vary
Facilitymedian $7,586 · 10th to 90th $741 to $28,840Professionalmedian $851 · 10th to 90th $513 to $5,012
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 $851.14 Median $11,220.18 Typical High $21,877.62 | Facility | None | $851.14 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $23,988.33 Typical High $48,977.88 | Facility | None | $257.04 | $23,988.33 | $48,977.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $691.83 Median $1,122.02 Typical High $5,011.87 | Professional | None | $691.83 | $1,122.02 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $9,120.11 Typical High $16,982.44 | Facility | None | $707.95 | $9,120.11 | $16,982.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8,128.31 Median $11,481.54 Typical High $16,982.44 | Professional | None | $8,128.31 | $11,481.54 | $16,982.44 |
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 $616.60 Median $707.95 Typical High $11,481.54 | Facility | None | $616.60 | $707.95 | $11,481.54 |
Premera BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $6,309.57 Typical High $11,220.18 | Facility | None | $4,570.88 | $6,309.57 | $11,220.18 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $19,054.61 Median $24,547.09 Typical High $46,773.51 | Facility | None | $19,054.61 | $24,547.09 | $46,773.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,122.02 | Professional | None | $645.65 | $794.33 | $1,122.02 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $7,244.36 Typical High $32,359.37 | Facility | None | $3,801.89 | $7,244.36 | $32,359.37 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,479.11 | Professional | None | $812.83 | $1,148.15 | $1,479.11 |
Wellpoint Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $85.11 |
Where Washington sits
The same service costs 16.2 times more in Arkansas 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· 31st of 51
$1,413
AR $7,244NY $447
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.