How much rates vary
Facilitymedian $141 · 10th to 90th $32 to $1,318Professionalmedian $74 · 10th to 90th $45 to $166
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 $47.86 Median $1,258.93 Typical High $11,220.18 | Facility | None | $47.86 | $1,258.93 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $85.11 | Professional | None | $45.71 | $57.54 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $87.10 | Professional | None | $50.12 | $53.70 | $87.10 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $26.92 Median $794.33 Typical High $1,621.81 | Facility | None | $26.92 | $794.33 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $645.65 | Professional | None | $51.29 | $93.33 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $72.44 Typical High $630.96 | Facility | None | $38.02 | $72.44 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $66.07 Typical High $100.00 | Professional | None | $44.67 | $66.07 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $35.48 Median $58.88 Typical High $123.03 | Professional | None | $35.48 | $58.88 | $123.03 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $97.72 Typical High $169.82 | Professional | None | $26.92 | $97.72 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $107.15 | Facility | None | $64.57 | $102.33 | $107.15 |
Premera BCBS Setting Facility Modifier None Typical Low $25.12 Median $33.88 Typical High $57.54 | Facility | None | $25.12 | $33.88 | $57.54 |
Premera BCBS Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | None | $50.12 | $50.12 | $72.44 |
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 $51.29 Median $74.13 Typical High $107.15 | Professional | None | $51.29 | $74.13 | $107.15 |
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 $47.86 Median $70.79 Typical High $123.03 | Professional | None | $47.86 | $70.79 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $74.13 | Professional | None | $36.31 | $52.48 | $74.13 |
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 $23.99 Median $26.30 Typical High $35.48 | Professional | 52 · Reduced service | $23.99 | $26.30 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $14.13 | Professional | 53 · Discontinued | $9.55 | $10.47 | $14.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $39.81 Typical High $52.48 | Professional | 54 · Surgery only | $35.48 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.94 Typical High $10.47 | Professional | 55 · Aftercare only | $7.08 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.25 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.79 | $5.25 | $7.08 |
Where Washington sits
The same service costs 4.2 times more in Alaska 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· 13th of 51
$74.13
AK $186NY $44.67
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.