How much rates vary
Facilitymedian $282 · 10th to 90th $52 to $912Professionalmedian $170 · 10th to 90th $62 to $331
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 $61.66 Median $6,165.95 Typical High $27,542.29 | Facility | None | $61.66 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $181.97 | Professional | None | $57.54 | $89.13 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $165.96 | Professional | None | $95.50 | $112.20 | $165.96 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.90 Median $537.03 Typical High $1,096.48 | Facility | None | $30.90 | $537.03 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $66.07 Median $177.83 Typical High $1,023.29 | Professional | None | $66.07 | $177.83 | $1,023.29 |
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 $61.66 Median $123.03 Typical High $223.87 | Professional | None | $61.66 | $123.03 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $144.54 Typical High $316.23 | Professional | None | $77.62 | $144.54 | $316.23 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $208.93 Typical High $346.74 | Professional | None | $36.31 | $208.93 | $346.74 |
Pacific Source Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $245.47 | Facility | None | $117.49 | $223.87 | $245.47 |
Premera BCBS Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $165.96 | Facility | None | $32.36 | $42.66 | $165.96 |
Premera BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $169.82 | Professional | None | $66.07 | $66.07 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $1,096.48 | Facility | None | $389.05 | $588.84 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $141.25 Typical High $245.47 | Professional | None | $66.07 | $141.25 | $245.47 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $812.83 | Facility | None | $134.90 | $346.74 | $812.83 |
United Setting Professional Modifier None Typical Low $64.57 Median $144.54 Typical High $302.00 | Professional | None | $64.57 | $144.54 | $302.00 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $173.78 | Professional | None | $54.95 | $83.18 | $173.78 |
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 $30.90 Median $44.67 Typical High $85.11 | Professional | 52 · Reduced service | $30.90 | $44.67 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $17.78 Typical High $33.88 | Professional | 53 · Discontinued | $12.30 | $17.78 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $66.07 Typical High $128.82 | Professional | 54 · Surgery only | $46.77 | $66.07 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $13.18 Typical High $25.70 | Professional | 55 · Aftercare only | $9.33 | $13.18 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.91 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.17 | $8.91 | $16.98 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in New Jersey. 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
$170
AK $251NJ $74.13
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.