How much rates vary
Facilitymedian $178 · 10th to 90th $31 to $617Professionalmedian $45 · 10th to 90th $17 to $87
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 $20.89 Median $4,265.80 Typical High $20,892.96 | Facility | None | $20.89 | $4,265.80 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $28.84 Typical High $53.70 | Professional | None | $15.85 | $28.84 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $9.55 Median $162.18 Typical High $338.84 | Facility | None | $9.55 | $162.18 | $338.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $19.95 Median $46.77 Typical High $281.84 | Professional | None | $19.95 | $46.77 | $281.84 |
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 $17.38 Median $35.48 Typical High $60.26 | Professional | None | $17.38 | $35.48 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $39.81 Typical High $83.18 | Professional | None | $22.39 | $39.81 | $83.18 |
Molina Setting Professional Modifier None Typical Low $9.33 Median $52.48 Typical High $85.11 | Professional | None | $9.33 | $52.48 | $85.11 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $56.23 Typical High $66.07 | Facility | None | $35.48 | $56.23 | $66.07 |
Premera BCBS Setting Facility Modifier None Typical Low $14.45 Median $19.50 Typical High $43.65 | Facility | None | $14.45 | $19.50 | $43.65 |
Premera BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.50 Typical High $45.71 | Professional | None | $19.05 | $19.50 | $45.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $338.84 | Facility | None | $138.04 | $181.97 | $338.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.95 Median $38.02 Typical High $66.07 | Professional | None | $19.95 | $38.02 | $66.07 |
United Setting Facility Modifier None Typical Low $134.90 Median $239.88 Typical High $549.54 | Facility | None | $134.90 | $239.88 | $549.54 |
United Setting Professional Modifier None Typical Low $19.05 Median $38.90 Typical High $81.28 | Professional | None | $19.05 | $38.90 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $16.98 Median $25.12 Typical High $47.86 | Professional | None | $16.98 | $25.12 | $47.86 |
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 $10.23 Median $14.45 Typical High $25.12 | Professional | 52 · Reduced service | $10.23 | $14.45 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.75 Typical High $10.23 | Professional | 53 · Discontinued | $4.17 | $5.75 | $10.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $21.88 Typical High $38.02 | Professional | 54 · Surgery only | $15.49 | $21.88 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $4.37 Typical High $7.59 | Professional | 55 · Aftercare only | $3.09 | $4.37 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.88 Typical High $5.01 | Professional | 56 · Pre-op care only | $2.04 | $2.88 | $5.01 |
Where Washington sits
The same service costs 3.5 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· 7th of 51
$44.67
AK $83.18NJ $23.99
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.