How much rates vary
Facilitymedian $141 · 10th to 90th $41 to $1,349Professionalmedian $87 · 10th to 90th $55 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 $57.54 Median $91.20 Typical High $6,456.54 | Facility | None | $57.54 | $91.20 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $104.71 | Professional | None | $57.54 | $77.62 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $125.89 | Professional | None | $56.23 | $77.62 | $125.89 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $29.51 Median $794.33 Typical High $1,621.81 | Facility | None | $29.51 | $794.33 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $61.66 Median $114.82 Typical High $588.84 | Professional | None | $61.66 | $114.82 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $107.15 Typical High $630.96 | Facility | None | $52.48 | $107.15 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $123.03 | Professional | None | $54.95 | $70.79 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $144.54 | Professional | None | $45.71 | $74.13 | $144.54 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $97.72 Typical High $169.82 | Professional | None | $27.54 | $97.72 | $169.82 |
Pacific Source Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $131.83 | Facility | None | $97.72 | $117.49 | $131.83 |
Premera BCBS Setting Facility Modifier None Typical Low $28.84 Median $41.69 Typical High $70.79 | Facility | None | $28.84 | $41.69 | $70.79 |
Premera BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | None | $61.66 | $61.66 | $89.13 |
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 $61.66 Median $89.13 Typical High $131.83 | Professional | None | $61.66 | $89.13 | $131.83 |
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 $56.23 Median $81.28 Typical High $147.91 | Professional | None | $56.23 | $81.28 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $100.00 | Professional | None | $39.81 | $70.79 | $100.00 |
7 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 $28.18 Median $32.36 Typical High $41.69 | Professional | 52 · Reduced service | $28.18 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.88 Typical High $16.60 | Professional | 53 · Discontinued | $11.48 | $12.88 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $48.98 Typical High $61.66 | Professional | 54 · Surgery only | $42.66 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.77 Typical High $12.30 | Professional | 55 · Aftercare only | $8.51 | $9.77 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.46 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.75 | $6.46 | $8.32 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $162.18 Typical High $208.93 | Professional | 50 · Both sides | $66.07 | $162.18 | $208.93 |
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 4.2 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· 15th of 51
$87.10
AK $224FL $53.70
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.