How much rates vary
Facilitymedian $617 · 10th to 90th $316 to $2,754Professionalmedian $550 · 10th to 90th $380 to $2,399
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 $407.38 Median $6,165.95 Typical High $20,892.96 | Facility | None | $407.38 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | None | $407.38 | $407.38 | $446.68 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $257.04 Median $2,041.74 Typical High $4,073.80 | Facility | None | $257.04 | $2,041.74 | $4,073.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $446.68 Median $1,023.29 Typical High $2,951.21 | Professional | None | $446.68 | $1,023.29 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $707.95 Typical High $1,047.13 | Facility | None | $524.81 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,000.00 | Professional | None | $562.34 | $812.83 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $588.84 Typical High $1,000.00 | Professional | None | $204.17 | $588.84 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $109.65 Typical High $331.13 | Professional | None | $10.96 | $109.65 | $331.13 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $660.69 | Facility | None | $173.78 | $302.00 | $660.69 |
Premera BCBS Setting Facility Modifier None Typical Low $295.12 Median $398.11 Typical High $676.08 | Facility | None | $295.12 | $398.11 | $676.08 |
Premera BCBS Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
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 $446.68 Median $676.08 Typical High $954.99 | Professional | None | $446.68 | $676.08 | $954.99 |
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 $389.05 Median $630.96 Typical High $1,096.48 | Professional | None | $389.05 | $630.96 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $426.58 | Professional | None | $134.90 | $199.53 | $426.58 |
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 $204.17 Median $204.17 Typical High $223.87 | Professional | 52 · Reduced service | $204.17 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 53 · Discontinued | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $331.13 | Professional | 54 · Surgery only | $309.03 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $44.67 |
Where Washington sits
The same service costs 4.1 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· 17th of 51
$589
AK $1,318KY $324
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.