How much rates vary
Facilitymedian $162 · 10th to 90th $62 to $1,047Professionalmedian $135 · 10th to 90th $83 to $257
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 $89.13 Median $6,165.95 Typical High $27,542.29 | Facility | None | $89.13 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $100.00 Typical High $128.82 | Professional | None | $89.13 | $100.00 | $128.82 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $50.12 Median $724.44 Typical High $1,479.11 | Facility | None | $50.12 | $724.44 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $95.50 Median $177.83 Typical High $1,000.00 | Professional | None | $95.50 | $177.83 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $204.17 | Facility | None | $66.07 | $123.03 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $117.49 Typical High $190.55 | Professional | None | $83.18 | $117.49 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $229.09 | Professional | None | $81.28 | $131.83 | $229.09 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $144.54 Typical High $257.04 | Professional | None | $41.69 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $120.23 Median $186.21 Typical High $213.80 | Facility | None | $120.23 | $186.21 | $213.80 |
Premera BCBS Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $131.83 | Facility | None | $44.67 | $75.86 | $131.83 |
Premera BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | None | $95.50 | $95.50 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $524.81 Median $776.25 Typical High $1,479.11 | Facility | None | $524.81 | $776.25 | $1,479.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $204.17 | Professional | None | $95.50 | $134.90 | $204.17 |
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 $85.11 Median $123.03 Typical High $229.09 | Professional | None | $85.11 | $123.03 | $229.09 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $165.96 | Professional | None | $67.61 | $117.49 | $165.96 |
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 $43.65 Median $47.86 Typical High $64.57 | Professional | 52 · Reduced service | $43.65 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $25.70 | Professional | 53 · Discontinued | $17.78 | $19.50 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $72.44 Typical High $97.72 | Professional | 54 · Surgery only | $66.07 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $14.45 Typical High $19.50 | Professional | 55 · Aftercare only | $13.18 | $14.45 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.55 Typical High $12.88 | Professional | 56 · Pre-op care only | $8.91 | $9.55 | $12.88 |
Where Washington sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$135
AK $282FL $74.13
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.