How much rates vary
Facilitymedian $158 · 10th to 90th $50 to $1,259Professionalmedian $120 · 10th to 90th $78 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 $112.20 Median $4,677.35 Typical High $20,892.96 | Facility | None | $112.20 | $4,677.35 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $123.03 | Professional | None | $67.61 | $91.20 | $123.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $43.65 Median $831.76 Typical High $1,698.24 | Facility | None | $43.65 | $831.76 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $89.13 Median $154.88 Typical High $812.83 | Professional | None | $89.13 | $154.88 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $114.82 Typical High $831.76 | Facility | None | $69.18 | $114.82 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $169.82 | Professional | None | $79.43 | $100.00 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $190.55 | Professional | None | $64.57 | $102.33 | $190.55 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $144.54 Typical High $257.04 | Professional | None | $41.69 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $177.83 | Facility | None | $117.49 | $162.18 | $177.83 |
Premera BCBS Setting Facility Modifier None Typical Low $30.90 Median $56.23 Typical High $100.00 | Facility | None | $30.90 | $56.23 | $100.00 |
Premera BCBS Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | None | $89.13 | $89.13 | $120.23 |
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 $89.13 Median $120.23 Typical High $181.97 | Professional | None | $89.13 | $120.23 | $181.97 |
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 $81.28 Median $112.20 Typical High $204.17 | Professional | None | $81.28 | $112.20 | $204.17 |
Wellpoint Setting Professional Modifier None Typical Low $58.88 Median $95.50 Typical High $134.90 | Professional | None | $58.88 | $95.50 | $134.90 |
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 $40.74 Median $45.71 Typical High $56.23 | Professional | 52 · Reduced service | $40.74 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $22.39 | Professional | 53 · Discontinued | $16.60 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $67.61 Typical High $85.11 | Professional | 54 · Surgery only | $61.66 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $13.49 Typical High $16.98 | Professional | 55 · Aftercare only | $12.30 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.12 Typical High $11.22 | Professional | 56 · Pre-op care only | $8.32 | $9.12 | $11.22 |
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 3.8 times more in Alaska than in Kentucky. 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· 13th of 51
$120
AK $263KY $69.18
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.