How much rates vary
Facilitymedian $708 · 10th to 90th $151 to $6,166Professionalmedian $661 · 10th to 90th $380 to $1,288
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 $602.56 Median $6,165.95 Typical High $20,892.96 | Facility | None | $602.56 | $6,165.95 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $758.58 | Professional | None | $436.52 | $602.56 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $10,715.19 | Facility | None | $323.59 | $323.59 | $10,715.19 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $676.08 Median $3,388.44 Typical High $3,890.45 | Professional | None | $676.08 | $3,388.44 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $2,187.76 | Facility | None | $707.95 | $741.31 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $1,000.00 | Professional | None | $501.19 | $588.84 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $794.33 Typical High $1,202.26 | Professional | None | $467.74 | $794.33 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $645.65 Typical High $1,122.02 | Professional | None | $190.55 | $645.65 | $1,122.02 |
Pacific Source Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $977.24 | Facility | None | $794.33 | $912.01 | $977.24 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $3,630.78 | Facility | None | $1,348.96 | $2,290.87 | $3,630.78 |
Premera BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,122.02 | Professional | None | $676.08 | $676.08 | $1,122.02 |
United Setting Facility Modifier None Typical Low $125.89 Median $295.12 Typical High $707.95 | Facility | None | $125.89 | $295.12 | $707.95 |
United Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,380.38 | Professional | None | $575.44 | $707.95 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $851.14 | Professional | None | $416.87 | $562.34 | $851.14 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $60.26 |
Where Washington sits
The same service costs 22.9 times more in Alabama 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.
Physician feeFacility fee
AL $15,380DE $671
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.