How much rates vary
Facilitymedian $302 · 10th to 90th $105 to $2,754Professionalmedian $219 · 10th to 90th $100 to $407
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 $104.71 Median $1,348.96 Typical High $11,220.18 | Facility | None | $104.71 | $1,348.96 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $173.78 Typical High $245.47 | Professional | None | $87.10 | $173.78 | $245.47 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $338.84 | Professional | None | $81.28 | $141.25 | $338.84 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $416.87 | Facility | None | $54.95 | $66.07 | $416.87 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $2,344.23 | Professional | None | $112.20 | $223.87 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $75.86 | Facility | None | $50.12 | $52.48 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $165.96 Typical High $275.42 | Professional | None | $100.00 | $165.96 | $275.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $194.98 Typical High $398.11 | Professional | None | $95.50 | $194.98 | $398.11 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $239.88 Typical High $426.58 | Professional | None | $67.61 | $239.88 | $426.58 |
Pacific Source Setting Facility Modifier None Typical Low $181.97 Median $309.03 Typical High $331.13 | Facility | None | $181.97 | $309.03 | $331.13 |
Premera BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $223.87 | Facility | None | $218.78 | $218.78 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | None | $112.20 | $112.20 | $223.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $331.13 | Professional | None | $112.20 | $223.87 | $331.13 |
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 $102.33 Median $199.53 Typical High $363.08 | Professional | None | $102.33 | $199.53 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $173.78 Typical High $257.04 | Professional | None | $74.13 | $173.78 | $257.04 |
6 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 $52.48 Median $81.28 Typical High $112.20 | Professional | 52 · Reduced service | $52.48 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $32.36 Typical High $44.67 | Professional | 53 · Discontinued | $20.89 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $120.23 Typical High $165.96 | Professional | 54 · Surgery only | $77.62 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $23.99 Typical High $33.11 | Professional | 55 · Aftercare only | $15.85 | $23.99 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $16.22 Typical High $22.39 | Professional | 56 · Pre-op care only | $10.47 | $16.22 | $22.39 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $208.93 Typical High $229.09 | Professional | 50 · Both sides | $107.15 | $208.93 | $229.09 |
Where Washington sits
The same service costs 3.9 times more in Alaska than in Virginia. 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· 11th of 51
$219
AK $417VA $107
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.