How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,047 to $24,547Professionalmedian $1,660 · 10th to 90th $1,259 to $8,913
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 $1,258.93 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,258.93 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $891.25 Median $19,952.62 Typical High $41,686.94 | Facility | None | $891.25 | $19,952.62 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,659.59 Median $8,511.38 Typical High $10,471.29 | Professional | None | $1,659.59 | $8,511.38 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $5,888.44 Typical High $11,220.18 | Facility | None | $707.95 | $5,888.44 | $11,220.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $6,918.31 Typical High $9,772.37 | Professional | None | $5,128.61 | $6,918.31 | $9,772.37 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | None | $60.26 | $60.26 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $1,949.84 Median $5,754.40 Typical High $8,511.38 | Facility | None | $1,949.84 | $5,754.40 | $8,511.38 |
Premera BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,786.30 Typical High $8,128.31 | Facility | None | $3,467.37 | $4,786.30 | $8,128.31 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $39,810.72 | Facility | None | $15,848.93 | $20,892.96 | $39,810.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,659.59 | $1,659.59 | $2,630.27 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,754.23 | $4,677.35 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,737.80 | $3,388.44 |
Wellpoint Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
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 $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Where Washington sits
The same service costs 5.9 times more in Texas than in Kentucky. 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· 22nd of 51
$1,950
TX $5,754KY $977
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.