How much rates vary
Facilitymedian $2,630 · 10th to 90th $724 to $13,804Professionalmedian $708 · 10th to 90th $468 to $2,512
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 $588.84 Median $11,220.18 Typical High $21,877.62 | Facility | None | $588.84 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $234.42 Median $10,964.78 Typical High $22,387.21 | Facility | None | $234.42 | $10,964.78 | $22,387.21 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $3,467.37 | Professional | None | $630.96 | $831.76 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,691.53 Typical High $5,011.87 | Facility | None | $707.95 | $2,691.53 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,344.23 Median $3,388.44 Typical High $4,897.79 | Professional | None | $2,344.23 | $3,388.44 | $4,897.79 |
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 $562.34 Median $2,511.89 Typical High $3,548.13 | Facility | None | $562.34 | $2,511.89 | $3,548.13 |
Premera BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,548.82 | $2,089.30 | $3,630.78 |
Premera BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,709.64 Median $11,481.54 Typical High $21,877.62 | Facility | None | $8,709.64 | $11,481.54 | $21,877.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $954.99 | Professional | None | $588.84 | $724.44 | $954.99 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $14,454.40 | Facility | None | $1,548.82 | $2,570.40 | $14,454.40 |
United Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,122.02 | Professional | None | $707.95 | $831.76 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Where Washington sits
The same service costs 10.2 times more in Texas 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· 26th of 51
$1,122
TX $2,692NY $263
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.