How much rates vary
Facilitymedian $2,138 · 10th to 90th $617 to $14,454Professionalmedian $407 · 10th to 90th $123 to $794
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 $389.05 Median $9,549.93 Typical High $21,877.62 | Facility | None | $389.05 | $9,549.93 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $389.05 | Professional | None | $181.97 | $223.87 | $389.05 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $95.50 Median $10,232.93 Typical High $20,892.96 | Facility | None | $95.50 | $10,232.93 | $20,892.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $218.78 Median $588.84 Typical High $2,511.89 | Professional | None | $218.78 | $588.84 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,187.76 Typical High $3,981.07 | Facility | None | $707.95 | $2,187.76 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $707.95 | Professional | None | $173.78 | $346.74 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $575.44 Typical High $3,090.30 | Professional | None | $257.04 | $575.44 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $457.09 Typical High $776.25 | Professional | None | $79.43 | $457.09 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $575.44 | Facility | None | $331.13 | $524.81 | $575.44 |
Premera BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,096.48 | $1,621.81 | $2,691.53 |
Premera BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $371.54 | Professional | None | $194.98 | $194.98 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,413.10 Median $11,220.18 Typical High $20,892.96 | Facility | None | $7,413.10 | $11,220.18 | $20,892.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $660.69 | Professional | None | $194.98 | $380.19 | $660.69 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $15,135.61 | Facility | None | $1,513.56 | $2,570.40 | $15,135.61 |
United Setting Professional Modifier None Typical Low $181.97 Median $363.08 Typical High $724.44 | Professional | None | $181.97 | $363.08 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $426.58 | Professional | None | $169.82 | $263.03 | $426.58 |
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 $91.20 Median $109.65 Typical High $194.98 | Professional | 52 · Reduced service | $91.20 | $109.65 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $77.62 | Professional | 53 · Discontinued | $36.31 | $43.65 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $162.18 Typical High $295.12 | Professional | 54 · Surgery only | $138.04 | $162.18 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $32.36 Typical High $58.88 | Professional | 55 · Aftercare only | $27.54 | $32.36 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $21.88 Typical High $38.90 | Professional | 56 · Pre-op care only | $18.20 | $21.88 | $38.90 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $10,964.78 Median $16,595.87 Typical High $31,622.78 | Facility | 50 · Both sides | $10,964.78 | $16,595.87 | $31,622.78 |
Where Washington sits
The same service costs 5.8 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· 7th of 51
$427
AK $955HI $166
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.