How much rates vary
Facilitymedian $2,455 · 10th to 90th $794 to $13,183Professionalmedian $1,738 · 10th to 90th $1,514 to $10,233
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 $1,621.81 Median $11,220.18 Typical High $21,877.62 | Facility | None | $1,621.81 | $11,220.18 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $13,803.84 | Facility | None | $691.83 | $1,513.56 | $13,803.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,737.80 Median $10,232.93 Typical High $11,220.18 | Professional | None | $1,737.80 | $10,232.93 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,570.40 Typical High $4,786.30 | Facility | None | $707.95 | $2,570.40 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $3,162.28 | Professional | None | $1,288.25 | $1,513.56 | $3,162.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $4,073.80 | Professional | None | $1,949.84 | $2,754.23 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | None | $39.81 | $50.12 | $50.12 |
Pacific Source Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $2,570.40 | Facility | None | $1,479.11 | $2,290.87 | $2,570.40 |
Premera BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,905.46 Typical High $3,311.31 | Facility | None | $851.14 | $1,905.46 | $3,311.31 |
Premera BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,918.31 Median $10,471.29 Typical High $19,952.62 | Facility | None | $6,918.31 | $10,471.29 | $19,952.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $3,090.30 | Professional | None | $1,621.81 | $1,737.80 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $13,803.84 | Facility | None | $1,513.56 | $2,570.40 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $3,890.45 | Professional | None | $1,548.82 | $1,778.28 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
7 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 $812.83 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 51 · Multiple procedures | $616.60 | $616.60 | $616.60 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,471.29 Median $15,848.93 Typical High $29,512.09 | Facility | 50 · Both sides | $10,471.29 | $15,848.93 | $29,512.09 |
Where Washington sits
The same service costs 4.8 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· 21st of 51
$1,738
AK $5,129NY $1,072
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.