How much rates vary
Facilitymedian $295 · 10th to 90th $117 to $1,072Professionalmedian $372 · 10th to 90th $195 to $776
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 $204.17 Median $6,165.95 Typical High $27,542.29 | Facility | None | $204.17 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $354.81 | Professional | None | $204.17 | $269.15 | $354.81 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $758.58 Typical High $1,479.11 | Facility | None | $114.82 | $758.58 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $213.80 Median $457.09 Typical High $2,754.23 | Professional | None | $213.80 | $457.09 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $239.88 Typical High $398.11 | Facility | None | $66.07 | $239.88 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $489.78 | Professional | None | $194.98 | $288.40 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $616.60 | Professional | None | $169.82 | $295.12 | $616.60 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $436.52 Typical High $776.25 | Professional | None | $114.82 | $436.52 | $776.25 |
Pacific Source Setting Facility Modifier None Typical Low $309.03 Median $467.74 Typical High $562.34 | Facility | None | $309.03 | $467.74 | $562.34 |
Premera BCBS Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $295.12 | Facility | None | $100.00 | $151.36 | $295.12 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $389.05 | Professional | None | $218.78 | $218.78 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $1,479.11 | Facility | None | $549.54 | $776.25 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $575.44 | Professional | None | $213.80 | $371.54 | $575.44 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $1,122.02 | Facility | None | $134.90 | $346.74 | $1,122.02 |
United Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $602.56 | Professional | None | $199.53 | $331.13 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $457.09 | Professional | None | $154.88 | $323.59 | $457.09 |
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 $102.33 Median $131.83 Typical High $177.83 | Professional | 52 · Reduced service | $102.33 | $131.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $52.48 Typical High $70.79 | Professional | 53 · Discontinued | $40.74 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $194.98 Typical High $269.15 | Professional | 54 · Surgery only | $151.36 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $38.90 Typical High $53.70 | Professional | 55 · Aftercare only | $30.90 | $38.90 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $26.30 Typical High $35.48 | Professional | 56 · Pre-op care only | $20.42 | $26.30 | $35.48 |
Where Washington sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 9th of 51
$372
AK $661MD $182
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.