How much rates vary
Facilitymedian $166 · 10th to 90th $62 to $1,349Professionalmedian $129 · 10th to 90th $72 to $257
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 $74.13 Median $173.78 Typical High $9,549.93 | Facility | None | $74.13 | $173.78 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $141.25 | Professional | None | $74.13 | $95.50 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $229.09 | Professional | None | $95.50 | $117.49 | $229.09 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $37.15 Median $831.76 Typical High $1,698.24 | Facility | None | $37.15 | $831.76 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $81.28 Median $158.49 Typical High $891.25 | Professional | None | $81.28 | $158.49 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $870.96 | Facility | None | $81.28 | $147.91 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $165.96 | Professional | None | $72.44 | $107.15 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $112.20 Typical High $208.93 | Professional | None | $69.18 | $112.20 | $208.93 |
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 $107.15 Median $177.83 Typical High $199.53 | Facility | None | $107.15 | $177.83 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $47.86 Median $66.07 Typical High $120.23 | Facility | None | $47.86 | $66.07 | $120.23 |
Premera BCBS Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | None | $81.28 | $81.28 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $616.60 Median $870.96 Typical High $1,621.81 | Facility | None | $616.60 | $870.96 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $199.53 | Professional | None | $81.28 | $134.90 | $199.53 |
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 $75.86 Median $120.23 Typical High $218.78 | Professional | None | $75.86 | $120.23 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $104.71 Typical High $151.36 | Professional | None | $50.12 | $104.71 | $151.36 |
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 $37.15 Median $44.67 Typical High $64.57 | Professional | 52 · Reduced service | $37.15 | $44.67 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $25.70 | Professional | 53 · Discontinued | $15.14 | $17.78 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $67.61 Typical High $97.72 | Professional | 54 · Surgery only | $56.23 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.49 Typical High $19.50 | Professional | 55 · Aftercare only | $11.22 | $13.49 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.91 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.41 | $8.91 | $12.88 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $234.42 Median $302.00 Typical High $338.84 | Professional | 50 · Both sides | $234.42 | $302.00 | $338.84 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $912.01 Median $1,288.25 Typical High $2,454.71 | Facility | 50 · Both sides | $912.01 | $1,288.25 | $2,454.71 |
Where Washington sits
The same service costs 3.7 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· 12th of 51
$129
AK $275KY $74.13
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.