How much rates vary
Facilitymedian $331 · 10th to 90th $135 to $5,129Professionalmedian $158 · 10th to 90th $145 to $363
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 $147.91 Median $4,265.80 Typical High $20,417.38 | Facility | None | $147.91 | $4,265.80 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $181.97 | Professional | None | $123.03 | $147.91 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $30.20 Median $89.13 Typical High $724.44 | Facility | None | $30.20 | $89.13 | $724.44 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $1,698.24 | Professional | None | $158.49 | $239.88 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $7,079.46 | Facility | None | $707.95 | $776.25 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $251.19 | Professional | None | $120.23 | $144.54 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $302.00 | Professional | None | $114.82 | $245.47 | $302.00 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Pacific Source Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $234.42 | Facility | None | $190.55 | $229.09 | $234.42 |
Premera BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Premera BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | None | $158.49 | $158.49 | $263.03 |
United Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $602.56 | Facility | None | $125.89 | $295.12 | $602.56 |
United Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $323.59 | Professional | None | $138.04 | $165.96 | $323.59 |
Wellpoint Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 54 · Surgery only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
Where Washington sits
The same service costs 4.0 times more in Alaska than in Delaware. 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· 26th of 51
$158
AK $468DE $117
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.