How much rates vary
Facilitymedian $2,884 · 10th to 90th $708 to $12,023Professionalmedian $513 · 10th to 90th $363 to $2,818
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 $363.08 Median $6,456.54 Typical High $20,892.96 | Facility | None | $363.08 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | None | $363.08 | $363.08 | $398.11 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $338.84 Median $9,120.11 Typical High $18,620.87 | Facility | None | $338.84 | $9,120.11 | $18,620.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $489.78 Median $2,818.38 Typical High $3,715.35 | Professional | None | $489.78 | $2,818.38 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,235.94 Typical High $6,165.95 | Facility | None | $707.95 | $3,235.94 | $6,165.95 |
Kaiser Permanente 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 |
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 $426.58 Median $2,137.96 Typical High $3,890.45 | Facility | None | $426.58 | $2,137.96 | $3,890.45 |
Premera BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $2,290.87 Typical High $3,981.07 | Facility | None | $1,698.24 | $2,290.87 | $3,981.07 |
Premera BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,244.36 Median $9,549.93 Typical High $17,782.79 | Facility | None | $7,244.36 | $9,549.93 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $812.83 | Professional | None | $489.78 | $489.78 | $812.83 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,548.82 | $2,570.40 | $12,882.50 |
United Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $1,000.00 | Professional | None | $426.58 | $512.86 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $1,000.00 | Professional | None | $467.74 | $630.96 | $1,000.00 |
6 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 $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $36.31 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,715.19 Median $14,125.38 Typical High $26,915.35 | Facility | 50 · Both sides | $10,715.19 | $14,125.38 | $26,915.35 |
Where Washington sits
The same service costs 28.2 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· 20th of 51
$575
TX $2,570KY $91.20
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.