How much rates vary
Facilitymedian $437 · 10th to 90th $141 to $2,692Professionalmedian $282 · 10th to 90th $162 to $501
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 $275.42 Median $6,165.95 Typical High $20,892.96 | Facility | None | $275.42 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $275.42 | Professional | None | $173.78 | $275.42 | $275.42 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $85.11 Median $707.95 Typical High $1,348.96 | Facility | None | $85.11 | $707.95 | $1,348.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $2,344.23 | Professional | None | $186.21 | $281.84 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $1,513.56 | Facility | None | $630.96 | $724.44 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $416.87 | Professional | None | $165.96 | $257.04 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $338.84 Typical High $537.03 | Professional | None | $208.93 | $338.84 | $537.03 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $316.23 Typical High $512.86 | Professional | None | $54.95 | $316.23 | $512.86 |
Pacific Source Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $416.87 | Facility | None | $239.88 | $398.11 | $416.87 |
Premera BCBS Setting Facility Modifier None Typical Low $275.42 Median $588.84 Typical High $812.83 | Facility | None | $275.42 | $588.84 | $812.83 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $281.84 | Professional | None | $181.97 | $181.97 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,235.94 | Facility | None | $2,570.40 | $2,570.40 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $416.87 | Professional | None | $186.21 | $281.84 | $416.87 |
United Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $602.56 | Facility | None | $125.89 | $302.00 | $602.56 |
United Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $512.86 | Professional | None | $173.78 | $269.15 | $512.86 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $302.00 | Professional | None | $151.36 | $229.09 | $302.00 |
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 $87.10 Median $100.00 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $151.36 Typical High $208.93 | Professional | 54 · Surgery only | $128.82 | $151.36 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $30.20 Typical High $41.69 | Professional | 55 · Aftercare only | $26.30 | $30.20 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.95 Typical High $27.54 | Professional | 56 · Pre-op care only | $17.38 | $19.95 | $27.54 |
Where Washington sits
The same service costs 10.1 times more in Oklahoma than in Delaware. 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.
Physician feeFacility fee
OK $3,525DE $348
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.