How much rates vary
Facilitymedian $537 · 10th to 90th $151 to $4,169Professionalmedian $355 · 10th to 90th $191 to $617
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 $338.84 Median $12,302.69 Typical High $25,118.86 | Facility | None | $338.84 | $12,302.69 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | None | $338.84 | $338.84 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $177.83 Median $1,023.29 Typical High $2,137.96 | Facility | None | $177.83 | $1,023.29 | $2,137.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $3,630.78 | Professional | None | $371.54 | $562.34 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $2,137.96 | Facility | None | $1,000.00 | $1,023.29 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $575.44 | Professional | None | $281.84 | $331.13 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $676.08 | Professional | None | $263.03 | $446.68 | $676.08 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $331.13 Typical High $575.44 | Professional | None | $93.33 | $331.13 | $575.44 |
Pacific Source Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $549.54 | Facility | None | $323.59 | $524.81 | $549.54 |
Premera BCBS Setting Facility Modifier None Typical Low $371.54 Median $1,202.26 Typical High $1,621.81 | Facility | None | $371.54 | $1,202.26 | $1,621.81 |
Premera BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,760.83 | Facility | None | $5,370.32 | $5,370.32 | $6,760.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $616.60 | Professional | None | $371.54 | $371.54 | $616.60 |
United Setting Facility Modifier None Typical Low $125.89 Median $302.00 Typical High $616.60 | Facility | None | $125.89 | $302.00 | $616.60 |
United Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $758.58 | Professional | None | $323.59 | $389.05 | $758.58 |
Wellpoint Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $478.63 | Professional | None | $234.42 | $316.23 | $478.63 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 54 · Surgery only | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Where Washington sits
The same service costs 4.8 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· 28th of 51
$363
AK $1,096UT $229
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.