How much rates vary
Facilitymedian $550 · 10th to 90th $257 to $2,692Professionalmedian $490 · 10th to 90th $115 to $955
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 $426.58 Median $5,128.61 Typical High $20,892.96 | Facility | None | $426.58 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $263.03 Typical High $426.58 | Professional | None | $114.82 | $263.03 | $426.58 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $1,949.84 Typical High $4,073.80 | Facility | None | $60.26 | $1,949.84 | $4,073.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $131.83 Median $616.60 Typical High $3,019.95 | Professional | None | $131.83 | $616.60 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $691.83 Typical High $1,000.00 | Facility | None | $380.19 | $691.83 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $295.12 Typical High $758.58 | Professional | None | $112.20 | $295.12 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $398.11 Typical High $724.44 | Professional | None | $165.96 | $398.11 | $724.44 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $575.44 Typical High $977.24 | Professional | None | $97.72 | $575.44 | $977.24 |
Pacific Source Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $602.56 | Facility | None | $316.23 | $436.52 | $602.56 |
Premera BCBS Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $457.09 | Facility | None | $218.78 | $275.42 | $457.09 |
Premera BCBS Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $416.87 | Professional | None | $120.23 | $120.23 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,548.82 | $2,041.74 | $3,890.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $123.03 Median $269.15 Typical High $741.31 | Professional | None | $123.03 | $269.15 | $741.31 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,754.23 | Facility | None | $371.54 | $691.83 | $2,754.23 |
United Setting Professional Modifier None Typical Low $123.03 Median $302.00 Typical High $794.33 | Professional | None | $123.03 | $302.00 | $794.33 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $501.19 | Professional | None | $107.15 | $158.49 | $501.19 |
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 $57.54 Median $120.23 Typical High $213.80 | Professional | 52 · Reduced service | $57.54 | $120.23 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $47.86 Typical High $85.11 | Professional | 53 · Discontinued | $22.91 | $47.86 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $181.97 Typical High $316.23 | Professional | 54 · Surgery only | $85.11 | $181.97 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $36.31 Typical High $63.10 | Professional | 55 · Aftercare only | $16.98 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $23.99 Typical High $42.66 | Professional | 56 · Pre-op care only | $11.48 | $23.99 | $42.66 |
Where Washington sits
The same service costs 4.3 times more in Oklahoma than in Nebraska. 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· 5th of 51
$490
OK $724NE $170
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.