How much rates vary
Facilitymedian $295 · 10th to 90th $117 to $1,072Professionalmedian $389 · 10th to 90th $219 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 $229.09 Median $6,165.95 Typical High $27,542.29 | Facility | None | $229.09 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $380.19 | Professional | None | $229.09 | $295.12 | $380.19 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $128.82 Median $758.58 Typical High $1,479.11 | Facility | None | $128.82 | $758.58 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $245.47 Median $489.78 Typical High $2,951.21 | Professional | None | $245.47 | $489.78 | $2,951.21 |
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 $218.78 Median $316.23 Typical High $524.81 | Professional | None | $218.78 | $316.23 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $323.59 Typical High $660.69 | Professional | None | $177.83 | $323.59 | $660.69 |
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 $331.13 Median $512.86 Typical High $602.56 | Facility | None | $331.13 | $512.86 | $602.56 |
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 $251.19 Median $251.19 Typical High $416.87 | Professional | None | $251.19 | $251.19 | $416.87 |
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 $245.47 Median $398.11 Typical High $616.60 | Professional | None | $245.47 | $398.11 | $616.60 |
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 $223.87 Median $363.08 Typical High $660.69 | Professional | None | $223.87 | $363.08 | $660.69 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $346.74 Typical High $489.78 | Professional | None | $169.82 | $346.74 | $489.78 |
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 $114.82 Median $138.04 Typical High $190.55 | Professional | 52 · Reduced service | $114.82 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $56.23 Typical High $75.86 | Professional | 53 · Discontinued | $45.71 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $208.93 Typical High $288.40 | Professional | 54 · Surgery only | $169.82 | $208.93 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $41.69 Typical High $57.54 | Professional | 55 · Aftercare only | $34.67 | $41.69 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $28.18 Typical High $38.02 | Professional | 56 · Pre-op care only | $22.91 | $28.18 | $38.02 |
Where Washington sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 10th of 51
$389
AK $741KY $186
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.