How much rates vary
Facilitymedian $155 · 10th to 90th $69 to $1,585Professionalmedian $151 · 10th to 90th $48 to $288
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 $69.18 Median $4,570.88 Typical High $20,892.96 | Facility | None | $69.18 | $4,570.88 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $177.83 | Professional | None | $67.61 | $120.23 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $1,071.52 Typical High $2,187.76 | Facility | None | $34.67 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $81.28 Median $218.78 Typical High $870.96 | Professional | None | $81.28 | $218.78 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $165.96 | Facility | None | $66.07 | $97.72 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $144.54 Typical High $263.03 | Professional | None | $81.28 | $144.54 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $275.42 | Professional | None | $85.11 | $134.90 | $275.42 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $169.82 Typical High $288.40 | Professional | None | $29.51 | $169.82 | $288.40 |
Pacific Source Setting Facility Modifier None Typical Low $89.13 Median $181.97 Typical High $229.09 | Facility | None | $89.13 | $181.97 | $229.09 |
Premera BCBS Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $128.82 | Facility | None | $60.26 | $77.62 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $138.04 | Professional | None | $74.13 | $74.13 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,174.90 Typical High $2,187.76 | Facility | None | $776.25 | $1,174.90 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $138.04 Typical High $245.47 | Professional | None | $74.13 | $138.04 | $245.47 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,621.81 | Facility | None | $134.90 | $346.74 | $1,621.81 |
United Setting Professional Modifier None Typical Low $75.86 Median $138.04 Typical High $269.15 | Professional | None | $75.86 | $138.04 | $269.15 |
Wellpoint Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $144.54 | Professional | None | $61.66 | $93.33 | $144.54 |
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 $34.67 Median $43.65 Typical High $69.18 | Professional | 52 · Reduced service | $34.67 | $43.65 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $27.54 | Professional | 53 · Discontinued | $13.80 | $17.38 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $64.57 Typical High $102.33 | Professional | 54 · Surgery only | $51.29 | $64.57 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.18 Typical High $20.42 | Professional | 55 · Aftercare only | $10.23 | $13.18 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.71 Typical High $13.80 | Professional | 56 · Pre-op care only | $6.92 | $8.71 | $13.80 |
Where Washington sits
The same service costs 2.8 times more in Alaska than in Pennsylvania. 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· 8th of 51
$151
AK $257PA $93.33
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.