How much rates vary
Facilitymedian $417 · 10th to 90th $83 to $2,754Professionalmedian $195 · 10th to 90th $107 to $347
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 $190.55 Median $5,128.61 Typical High $20,892.96 | Facility | None | $190.55 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $204.17 | Professional | None | $97.72 | $128.82 | $204.17 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $60.26 Median $1,905.46 Typical High $3,890.45 | Facility | None | $60.26 | $1,905.46 | $3,890.45 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $125.89 Median $234.42 Typical High $1,258.93 | Professional | None | $125.89 | $234.42 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $630.96 | Facility | None | $107.15 | $204.17 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $288.40 | Professional | None | $112.20 | $169.82 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $186.21 Typical High $346.74 | Professional | None | $95.50 | $186.21 | $346.74 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $213.80 Typical High $338.84 | Professional | None | $36.31 | $213.80 | $338.84 |
Pacific Source Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $288.40 | Facility | None | $165.96 | $269.15 | $288.40 |
Premera BCBS Setting Facility Modifier None Typical Low $70.79 Median $91.20 Typical High $158.49 | Facility | None | $70.79 | $91.20 | $158.49 |
Premera BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $199.53 | Professional | None | $125.89 | $125.89 | $199.53 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,890.45 | Facility | None | $1,348.96 | $2,041.74 | $3,890.45 |
Regence BlueShield Setting Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $295.12 | Professional | None | $125.89 | $194.98 | $295.12 |
United Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,754.23 | Facility | None | $371.54 | $691.83 | $2,754.23 |
United Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $354.81 | Professional | None | $120.23 | $186.21 | $354.81 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $158.49 Typical High $208.93 | Professional | None | $107.15 | $158.49 | $208.93 |
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 $57.54 Median $66.07 Typical High $95.50 | Professional | 52 · Reduced service | $57.54 | $66.07 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $38.02 | Professional | 53 · Discontinued | $23.44 | $26.30 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $100.00 Typical High $141.25 | Professional | 54 · Surgery only | $87.10 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.95 Typical High $28.84 | Professional | 55 · Aftercare only | $17.38 | $19.95 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $13.18 Typical High $19.05 | Professional | 56 · Pre-op care only | $11.48 | $13.18 | $19.05 |
Where Washington sits
The same service costs 3.2 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 $372FL $117
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.