How much rates vary
Facilitymedian $708 · 10th to 90th $123 to $5,370Professionalmedian $214 · 10th to 90th $112 to $398
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 $117.49 Median $4,677.35 Typical High $20,417.38 | Facility | None | $117.49 | $4,677.35 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $229.09 | Professional | None | $104.71 | $138.04 | $229.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $63.10 Median $5,128.61 Typical High $10,471.29 | Facility | None | $63.10 | $5,128.61 | $10,471.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $3,890.45 | Professional | None | $125.89 | $218.78 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $1,000.00 | Facility | None | $128.82 | $245.47 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $302.00 | Professional | None | $114.82 | $177.83 | $302.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $199.53 Typical High $380.19 | Professional | None | $114.82 | $199.53 | $380.19 |
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 $186.21 Median $295.12 Typical High $316.23 | Facility | None | $186.21 | $295.12 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $102.33 Median $190.55 Typical High $1,230.27 | Facility | None | $102.33 | $190.55 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | None | $125.89 | $125.89 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $10,000.00 | Facility | None | $3,548.13 | $5,370.32 | $10,000.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $323.59 | Professional | None | $125.89 | $208.93 | $323.59 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $3,019.95 | Facility | None | $588.84 | $977.24 | $3,019.95 |
United Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $389.05 | Professional | None | $123.03 | $204.17 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $234.42 | Professional | None | $112.20 | $165.96 | $234.42 |
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 $58.88 Median $69.18 Typical High $107.15 | Professional | 52 · Reduced service | $58.88 | $69.18 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $42.66 | Professional | 53 · Discontinued | $23.44 | $27.54 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $102.33 Typical High $158.49 | Professional | 54 · Surgery only | $89.13 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $20.89 Typical High $31.62 | Professional | 55 · Aftercare only | $17.78 | $20.89 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $13.80 Typical High $21.38 | Professional | 56 · Pre-op care only | $11.75 | $13.80 | $21.38 |
Where Washington sits
The same service costs 3.2 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· 8th of 51
$219
AK $407NJ $129
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.