How much rates vary
Facilitymedian $186 · 10th to 90th $76 to $2,754Professionalmedian $200 · 10th to 90th $115 to $417
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 $128.82 Median $6,165.95 Typical High $27,542.29 | Facility | None | $128.82 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $186.21 | Professional | None | $128.82 | $141.25 | $186.21 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $66.07 Median $1,698.24 Typical High $3,467.37 | Facility | None | $66.07 | $1,698.24 | $3,467.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $1,348.96 | Professional | None | $141.25 | $257.04 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $141.25 Typical High $239.88 | Facility | None | $66.07 | $141.25 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $309.03 | Professional | None | $114.82 | $154.88 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $194.98 Typical High $346.74 | Professional | None | $112.20 | $194.98 | $346.74 |
Molina Setting Professional Modifier None Typical Low $45.71 Median $263.03 Typical High $426.58 | Professional | None | $45.71 | $263.03 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $288.40 | Facility | None | $169.82 | $239.88 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $162.18 | Facility | None | $58.88 | $89.13 | $162.18 |
Premera BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $199.53 | Professional | None | $138.04 | $138.04 | $199.53 |
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 $141.25 Median $194.98 Typical High $295.12 | Professional | None | $141.25 | $194.98 | $295.12 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $2,884.03 | Facility | None | $134.90 | $346.74 | $2,884.03 |
United Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $363.08 | Professional | None | $128.82 | $186.21 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $223.87 | Professional | None | $117.49 | $177.83 | $223.87 |
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 $64.57 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $64.57 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $26.30 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $107.15 Typical High $141.25 | Professional | 54 · Surgery only | $97.72 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $21.38 Typical High $28.18 | Professional | 55 · Aftercare only | $19.50 | $21.38 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $14.13 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.88 | $14.13 | $18.62 |
Where Washington sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$200
AK $407FL $110
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.