How much rates vary
Facilitymedian $8,128 · 10th to 90th $724 to $28,840Professionalmedian $537 · 10th to 90th $417 to $3,020
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 $416.87 Median $11,220.18 Typical High $21,877.62 | Facility | None | $416.87 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None | $416.87 | $416.87 | $457.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $263.03 Median $23,988.33 Typical High $48,977.88 | Facility | None | $263.03 | $23,988.33 | $48,977.88 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $489.78 Median $1,023.29 Typical High $3,019.95 | Professional | None | $489.78 | $1,023.29 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $10,000.00 Typical High $18,620.87 | Facility | None | $707.95 | $10,000.00 | $18,620.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8,912.51 Median $12,589.25 Typical High $18,620.87 | Professional | None | $8,912.51 | $12,589.25 | $18,620.87 |
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 $309.03 Median $7,413.10 Typical High $11,748.98 | Facility | None | $309.03 | $7,413.10 | $11,748.98 |
Premera BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $5,754.40 Typical High $12,882.50 | Facility | None | $3,548.13 | $5,754.40 | $12,882.50 |
Premera BCBS Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
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 $489.78 Median $691.83 Typical High $977.24 | Professional | None | $489.78 | $691.83 | $977.24 |
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 $501.19 Median $691.83 Typical High $1,096.48 | Professional | None | $501.19 | $691.83 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $707.95 | Professional | None | $457.09 | $478.63 | $707.95 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $41.69 |
Where Washington sits
The same service costs 32.4 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· 20th of 51
$1,318
OK $12,882NY $398
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.