How much rates vary
Facilitymedian $2,344 · 10th to 90th $891 to $13,804Professionalmedian $1,950 · 10th to 90th $1,259 to $9,550
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 $1,348.96 Median $6,456.54 Typical High $20,892.96 | Facility | None | $1,348.96 | $6,456.54 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,348.96 | $1,348.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,000.00 Median $14,454.40 Typical High $29,512.09 | Facility | None | $1,000.00 | $14,454.40 | $29,512.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,862.09 Median $4,168.69 Typical High $11,748.98 | Professional | None | $1,862.09 | $4,168.69 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
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 $1,819.70 Median $2,570.40 Typical High $4,677.35 | Facility | None | $1,819.70 | $2,570.40 | $4,677.35 |
Premera BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $4,677.35 | Facility | None | $1,995.26 | $2,691.53 | $4,677.35 |
Premera BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $15,135.61 Typical High $28,840.32 | Facility | None | $11,481.54 | $15,135.61 | $28,840.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $3,630.78 | Professional | None | $1,862.09 | $2,630.27 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $3,019.95 | Facility | None | $1,122.02 | $1,584.89 | $3,019.95 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $4,168.69 | Professional | None | $1,698.24 | $2,344.23 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $2,041.74 | Professional | None | $478.63 | $741.31 | $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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $134.90 |
Where Washington sits
The same service costs 109.6 times more in Alaska 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· 15th of 51
$2,042
AK $5,370KY $48.98
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.