How much rates vary
Facilitymedian $398 · 10th to 90th $126 to $2,818Professionalmedian $195 · 10th to 90th $71 to $363
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 $72.44 Median $2,754.23 Typical High $20,417.38 | Facility | None | $72.44 | $2,754.23 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $257.04 | Professional | None | $67.61 | $134.90 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $1,698.24 Typical High $3,630.78 | Facility | None | $34.67 | $1,698.24 | $3,630.78 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $75.86 Median $218.78 Typical High $1,318.26 | Professional | None | $75.86 | $218.78 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $302.00 Typical High $1,000.00 | Facility | None | $154.88 | $302.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $147.91 Typical High $288.40 | Professional | None | $72.44 | $147.91 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $177.83 Typical High $371.54 | Professional | None | $104.71 | $177.83 | $371.54 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $208.93 Typical High $338.84 | Professional | None | $36.31 | $208.93 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $316.23 | Facility | None | $173.78 | $281.84 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $229.09 | Facility | None | $112.20 | $141.25 | $229.09 |
Premera BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $213.80 | Professional | None | $77.62 | $77.62 | $213.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $3,467.37 | Facility | None | $1,230.27 | $1,819.70 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $75.86 Median $173.78 Typical High $316.23 | Professional | None | $75.86 | $173.78 | $316.23 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,884.03 | Facility | None | $371.54 | $691.83 | $2,884.03 |
United Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $380.19 | Professional | None | $75.86 | $181.97 | $380.19 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $218.78 | Professional | None | $63.10 | $93.33 | $218.78 |
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 $36.31 Median $64.57 Typical High $109.65 | Professional | 52 · Reduced service | $36.31 | $64.57 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $26.30 Typical High $43.65 | Professional | 53 · Discontinued | $14.45 | $26.30 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $97.72 Typical High $162.18 | Professional | 54 · Surgery only | $54.95 | $97.72 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $19.50 Typical High $32.36 | Professional | 55 · Aftercare only | $10.96 | $19.50 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $13.18 Typical High $21.88 | Professional | 56 · Pre-op care only | $7.24 | $13.18 | $21.88 |
Where Washington sits
The same service costs 2.6 times more in Alaska than in Montana. 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· 6th of 51
$204
AK $282MT $107
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.