How much rates vary
Facilitymedian $132 · 10th to 90th $55 to $1,738Professionalmedian $72 · 10th to 90th $55 to $407
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 $54.95 Median $7,943.28 Typical High $27,542.29 | Facility | None | $54.95 | $7,943.28 | $27,542.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $42.66 Median $107.15 Typical High $218.78 | Facility | None | $42.66 | $107.15 | $218.78 |
Asuris Northwest Health Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $489.78 | Professional | None (both parts) | $69.18 | $87.10 | $489.78 |
Asuris Northwest Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $177.83 | Professional | 26 · Professional part | $26.30 | $33.11 | $177.83 |
Asuris Northwest Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $309.03 | Professional | TC · Technical part | $42.66 | $53.70 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Kaiser Permanente Setting Professional Modifier None (both parts) Typical Low $67.61 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $67.61 | $123.03 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $44.67 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $107.15 | Facility | None | $48.98 | $48.98 | $107.15 |
Premera BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $74.13 | Facility | None | $67.61 | $67.61 | $74.13 |
Premera BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $74.13 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Premera BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $208.93 | Facility | None | $85.11 | $109.65 | $208.93 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $69.18 | $69.18 | $104.71 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $26.30 | $38.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $42.66 | $64.57 |
United Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $223.87 | Facility | None | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $74.13 Typical High $177.83 | Professional | None (both parts) | $64.57 | $74.13 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $28.18 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $112.20 | Professional | TC · Technical part | $39.81 | $46.77 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $53.70 | $72.44 | $114.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $26.92 | $40.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $44.67 | $74.13 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 54 · Surgery only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 55 · Aftercare only | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
Where Washington sits
The same service costs 3.3 times more in Nebraska 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· 9th of 51
$74.13
NE $112NY $33.88
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.