How much rates vary
Facilitymedian $331 · 10th to 90th $52 to $3,631Professionalmedian $60 · 10th to 90th $30 to $129
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 $57.54 Median $6,165.95 Typical High $20,892.96 | Facility | None | $57.54 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $95.50 | Professional | None | $39.81 | $57.54 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.84 Median $1,698.24 Typical High $3,467.37 | Facility | None | $28.84 | $1,698.24 | $3,467.37 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $63.10 Median $575.44 Typical High $645.65 | Professional | None | $63.10 | $575.44 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $117.49 | Professional | None | $46.77 | $54.95 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $120.23 | Professional | None | $61.66 | $93.33 | $120.23 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $53.70 Typical High $83.18 | Professional | None | $8.91 | $53.70 | $83.18 |
Pacific Source Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $93.33 | Facility | None | $67.61 | $85.11 | $93.33 |
Premera BCBS Setting Facility Modifier None Typical Low $23.99 Median $30.20 Typical High $63.10 | Facility | None | $23.99 | $30.20 | $63.10 |
Premera BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
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 $57.54 Median $63.10 Typical High $107.15 | Professional | None | $57.54 | $63.10 | $107.15 |
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 $56.23 Median $66.07 Typical High $138.04 | Professional | None | $56.23 | $66.07 | $138.04 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $52.48 Typical High $77.62 | Professional | None | $38.90 | $52.48 | $77.62 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 54 · Surgery only | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $5.75 |
Where Washington sits
The same service costs 13.8 times more in Oklahoma 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· 27th of 51
$63.10
OK $575NY $41.69
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.