How much rates vary
Facilitymedian $162 · 10th to 90th $47 to $1,318Professionalmedian $112 · 10th to 90th $69 to $251
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 $70.79 Median $4,570.88 Typical High $20,892.96 | Facility | None | $70.79 | $4,570.88 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $120.23 | Professional | None | $64.57 | $81.28 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $169.82 | Professional | None | $89.13 | $89.13 | $169.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $794.33 Typical High $1,621.81 | Facility | None | $37.15 | $794.33 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $77.62 Median $144.54 Typical High $758.58 | Professional | None | $77.62 | $144.54 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $134.90 Typical High $630.96 | Facility | None | $70.79 | $134.90 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $154.88 | Professional | None | $69.18 | $91.20 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $97.72 Typical High $181.97 | Professional | None | $58.88 | $97.72 | $181.97 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $144.54 Typical High $257.04 | Professional | None | $39.81 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $162.18 | Facility | None | $125.89 | $151.36 | $162.18 |
Premera BCBS Setting Facility Modifier None Typical Low $36.31 Median $52.48 Typical High $93.33 | Facility | None | $36.31 | $52.48 | $93.33 |
Premera BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $112.20 | Professional | None | $77.62 | $77.62 | $112.20 |
Regence BlueShield Setting Facility Modifier None Typical Low $575.44 Median $870.96 Typical High $1,621.81 | Facility | None | $575.44 | $870.96 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $165.96 | Professional | None | $77.62 | $112.20 | $165.96 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,230.27 | Facility | None | $134.90 | $346.74 | $1,230.27 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $186.21 | Professional | None | $70.79 | $102.33 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $48.98 Median $89.13 Typical High $125.89 | Professional | None | $48.98 | $89.13 | $125.89 |
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 $35.48 Median $39.81 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.85 Typical High $20.89 | Professional | 53 · Discontinued | $14.13 | $15.85 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $58.88 Typical High $79.43 | Professional | 54 · Surgery only | $53.70 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $11.75 Typical High $15.85 | Professional | 55 · Aftercare only | $10.72 | $11.75 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.94 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.08 | $7.94 | $10.47 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $870.96 Median $1,288.25 Typical High $2,454.71 | Facility | 50 · Both sides | $870.96 | $1,288.25 | $2,454.71 |
Where Washington sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 11th of 51
$112
AK $229FL $67.61
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.