How much rates vary
Facilitymedian $891 · 10th to 90th $275 to $6,166Professionalmedian $209 · 10th to 90th $63 to $407
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 $213.80 Median $5,128.61 Typical High $20,892.96 | Facility | None | $213.80 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $223.87 | Professional | None | $85.11 | $134.90 | $223.87 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $56.23 Median $707.95 Typical High $6,165.95 | Facility | None | $56.23 | $707.95 | $6,165.95 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $104.71 Median $323.59 Typical High $1,412.54 | Professional | None | $104.71 | $323.59 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,000.00 Typical High $1,819.70 | Facility | None | $467.74 | $1,000.00 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $177.83 Typical High $389.05 | Professional | None | $83.18 | $177.83 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $302.00 Typical High $1,412.54 | Professional | None | $125.89 | $302.00 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $229.09 Typical High $389.05 | Professional | None | $39.81 | $229.09 | $389.05 |
Pacific Source Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $316.23 | Facility | None | $177.83 | $275.42 | $316.23 |
Premera BCBS Setting Facility Modifier None Typical Low $208.93 Median $707.95 Typical High $1,230.27 | Facility | None | $208.93 | $707.95 | $1,230.27 |
Premera BCBS Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $204.17 | Professional | None | $93.33 | $93.33 | $204.17 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $4,786.30 Typical High $8,912.51 | Facility | None | $3,162.28 | $4,786.30 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $363.08 | Professional | None | $95.50 | $194.98 | $363.08 |
United Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $6,456.54 | Facility | None | $588.84 | $977.24 | $6,456.54 |
United Setting Professional Modifier None Typical Low $89.13 Median $190.55 Typical High $398.11 | Professional | None | $89.13 | $190.55 | $398.11 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $234.42 | Professional | None | $81.28 | $123.03 | $234.42 |
6 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 $42.66 Median $54.95 Typical High $107.15 | Professional | 52 · Reduced service | $42.66 | $54.95 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $22.39 Typical High $42.66 | Professional | 53 · Discontinued | $17.38 | $22.39 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $83.18 Typical High $158.49 | Professional | 54 · Surgery only | $64.57 | $83.18 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $16.60 Typical High $31.62 | Professional | 55 · Aftercare only | $12.88 | $16.60 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $10.96 Typical High $21.38 | Professional | 56 · Pre-op care only | $8.51 | $10.96 | $21.38 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $4,677.35 Median $7,079.46 Typical High $13,489.63 | Facility | 50 · Both sides | $4,677.35 | $7,079.46 | $13,489.63 |
Where Washington sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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
$214
AK $437HI $89.13
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.