How much rates vary
Facilitymedian $309 · 10th to 90th $76 to $1,778Professionalmedian $200 · 10th to 90th $87 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 $89.13 Median $6,165.95 Typical High $27,542.29 | Facility | None | $89.13 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $213.80 | Professional | None | $77.62 | $114.82 | $213.80 |
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 $43.65 Median $1,071.52 Typical High $2,187.76 | Facility | None | $43.65 | $1,071.52 | $2,187.76 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $95.50 Median $218.78 Typical High $1,258.93 | Professional | None | $95.50 | $218.78 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $169.82 Typical High $281.84 | Professional | None | $89.13 | $169.82 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $190.55 Typical High $398.11 | Professional | None | $112.20 | $190.55 | $398.11 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $208.93 Typical High $346.74 | Professional | None | $37.15 | $208.93 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $309.03 | Facility | None | $162.18 | $263.03 | $309.03 |
Premera BCBS Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $208.93 | Facility | None | $56.23 | $75.86 | $208.93 |
Premera BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $208.93 | Professional | None | $95.50 | $95.50 | $208.93 |
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 $95.50 Median $177.83 Typical High $309.03 | Professional | None | $95.50 | $177.83 | $309.03 |
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 $91.20 Median $186.21 Typical High $371.54 | Professional | None | $91.20 | $186.21 | $371.54 |
Wellpoint Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $213.80 | Professional | None | $77.62 | $117.49 | $213.80 |
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 $44.67 Median $61.66 Typical High $107.15 | Professional | 52 · Reduced service | $44.67 | $61.66 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $24.55 Typical High $42.66 | Professional | 53 · Discontinued | $17.78 | $24.55 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $91.20 Typical High $158.49 | Professional | 54 · Surgery only | $67.61 | $91.20 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $18.20 Typical High $31.62 | Professional | 55 · Aftercare only | $13.49 | $18.20 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $12.30 Typical High $21.38 | Professional | 56 · Pre-op care only | $8.91 | $12.30 | $21.38 |
Where Washington sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$200
AK $355MD $100
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.