How much rates vary
Facilitymedian $617 · 10th to 90th $141 to $3,388Professionalmedian $912 · 10th to 90th $501 to $1,738
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 $870.96 Median $6,165.95 Typical High $20,892.96 | Facility | None | $870.96 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | None | $870.96 | $870.96 | $954.99 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $4,265.80 | Facility | None | $446.68 | $446.68 | $4,265.80 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $954.99 Median $4,897.79 Typical High $5,128.61 | Professional | None | $954.99 | $4,897.79 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $2,137.96 | Facility | None | $707.95 | $741.31 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,445.44 | Professional | None | $645.65 | $776.25 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,096.48 Typical High $1,659.59 | Professional | None | $660.69 | $1,096.48 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $851.14 Typical High $1,479.11 | Professional | None | $245.47 | $851.14 | $1,479.11 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $1,380.38 | Facility | None | $794.33 | $1,318.26 | $1,380.38 |
Premera BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Premera BCBS Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,584.89 | Professional | None | $954.99 | $954.99 | $1,584.89 |
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 $776.25 Median $933.25 Typical High $1,819.70 | Professional | None | $776.25 | $933.25 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,202.26 | Professional | None | $588.84 | $794.33 | $1,202.26 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $87.10 |
Where Washington sits
The same service costs 4.7 times more in Alaska than in Utah. 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· 20th of 51
$912
AK $2,754UT $589
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.