How much rates vary
Facilitymedian $8,318 · 10th to 90th $708 to $42,658Professionalmedian $347 · 10th to 90th $263 to $1,778
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 $263.03 Median $6,165.95 Typical High $20,892.96 | Facility | None | $263.03 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | None | $263.03 | $263.03 | $288.40 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $190.55 Median $37,153.52 Typical High $75,857.76 | Facility | None | $190.55 | $37,153.52 | $75,857.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $346.74 Median $1,778.28 Typical High $2,187.76 | Professional | None | $346.74 | $1,778.28 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $16,982.44 Typical High $29,512.09 | Facility | None | $707.95 | $16,982.44 | $29,512.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
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 $331.13 Median $489.78 Typical High $16,982.44 | Facility | None | $331.13 | $489.78 | $16,982.44 |
Premera BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $8,511.38 Typical High $19,054.61 | Facility | None | $5,623.41 | $8,511.38 | $19,054.61 |
Premera BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $29,512.09 Median $38,018.94 Typical High $72,443.60 | Facility | None | $29,512.09 | $38,018.94 | $72,443.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $549.54 | Professional | None | $346.74 | $346.74 | $549.54 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $4,677.35 Typical High $50,118.72 | Facility | None | $2,754.23 | $4,677.35 | $50,118.72 |
United Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $724.44 | Professional | None | $302.00 | $371.54 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Where Washington sits
The same service costs 9.5 times more in Arkansas 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· 18th of 51
$398
AR $1,905KY $200
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.