How much rates vary
Facilitymedian $141 · 10th to 90th $49 to $776Professionalmedian $112 · 10th to 90th $59 to $251
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 $66.07 Median $5,128.61 Typical High $21,877.62 | Facility | None | $66.07 | $5,128.61 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $104.71 | Professional | None | $66.07 | $104.71 | $104.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $33.11 Median $562.34 Typical High $1,096.48 | Facility | None | $33.11 | $562.34 | $1,096.48 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $758.58 | Professional | None | $70.79 | $134.90 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $144.54 | Facility | None | $63.10 | $87.10 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $158.49 | Professional | None | $56.23 | $83.18 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $107.15 Typical High $186.21 | Professional | None | $66.07 | $107.15 | $186.21 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $158.49 Typical High $257.04 | Professional | None | $27.54 | $158.49 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $100.00 Median $144.54 Typical High $165.96 | Facility | None | $100.00 | $144.54 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $38.02 Median $56.23 Typical High $100.00 | Facility | None | $38.02 | $56.23 | $100.00 |
Premera BCBS Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $112.20 | Professional | None | $70.79 | $70.79 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $1,096.48 | Facility | None | $457.09 | $602.56 | $1,096.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $162.18 | Professional | None | $70.79 | $109.65 | $162.18 |
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 $102.33 Typical High $199.53 | Professional | None | $64.57 | $102.33 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $125.89 | Professional | None | $60.26 | $91.20 | $125.89 |
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 $33.11 Median $36.31 Typical High $52.48 | Professional | 52 · Reduced service | $33.11 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.45 Typical High $20.89 | Professional | 53 · Discontinued | $13.18 | $14.45 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $53.70 Typical High $79.43 | Professional | 54 · Surgery only | $48.98 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.72 Typical High $15.85 | Professional | 55 · Aftercare only | $10.00 | $10.72 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.24 Typical High $10.47 | Professional | 56 · Pre-op care only | $6.61 | $7.24 | $10.47 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in New York. 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· 10th of 51
$112
AK $209NY $61.66
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.