How much rates vary
Facilitymedian $155 · 10th to 90th $39 to $1,318Professionalmedian $85 · 10th to 90th $50 to $162
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 $51.29 Median $4,570.88 Typical High $20,892.96 | Facility | None | $51.29 | $4,570.88 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $91.20 | Professional | None | $50.12 | $63.10 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $27.54 Median $794.33 Typical High $1,621.81 | Facility | None | $27.54 | $794.33 | $1,621.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $588.84 | Professional | None | $56.23 | $87.10 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $114.82 Typical High $630.96 | Facility | None | $57.54 | $114.82 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $112.20 | Professional | None | $50.12 | $70.79 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $77.62 Typical High $141.25 | Professional | None | $45.71 | $77.62 | $141.25 |
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 $97.72 Median $117.49 Typical High $128.82 | Facility | None | $97.72 | $117.49 | $128.82 |
Premera BCBS Setting Facility Modifier None Typical Low $30.20 Median $44.67 Typical High $79.43 | Facility | None | $30.20 | $44.67 | $79.43 |
Premera BCBS Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $89.13 | Professional | None | $56.23 | $56.23 | $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 $56.23 Median $87.10 Typical High $131.83 | Professional | None | $56.23 | $87.10 | $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 $52.48 Median $79.43 Typical High $144.54 | Professional | None | $52.48 | $79.43 | $144.54 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $69.18 Typical High $97.72 | Professional | None | $37.15 | $69.18 | $97.72 |
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 $25.70 Median $29.51 Typical High $41.69 | Professional | 52 · Reduced service | $25.70 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $16.60 | Professional | 53 · Discontinued | $10.47 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $44.67 Typical High $61.66 | Professional | 54 · Surgery only | $38.90 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.91 Typical High $12.59 | Professional | 55 · Aftercare only | $7.76 | $8.91 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.89 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.25 | $5.89 | $8.32 |
Where Washington sits
The same service costs 3.5 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· 13th of 51
$85.11
AK $178FL $51.29
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.