How much rates vary
Facilitymedian $145 · 10th to 90th $59 to $1,023Professionalmedian $120 · 10th to 90th $74 to $251
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 $79.43 Median $114.82 Typical High $131.83 | Facility | None | $79.43 | $114.82 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $125.89 | Professional | None | $75.86 | $93.33 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $213.80 | Professional | None | $134.90 | $147.91 | $213.80 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $43.65 Median $707.95 Typical High $1,479.11 | Facility | None | $43.65 | $707.95 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $83.18 Median $158.49 Typical High $851.14 | Professional | None | $83.18 | $158.49 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $177.83 | Facility | None | $66.07 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $169.82 | Professional | None | $74.13 | $104.71 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $114.82 Typical High $199.53 | Professional | None | $74.13 | $114.82 | $199.53 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $144.54 Typical High $257.04 | Professional | None | $40.74 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $181.97 | Facility | None | $107.15 | $162.18 | $181.97 |
Premera BCBS Setting Facility Modifier None Typical Low $51.29 Median $67.61 Typical High $114.82 | Facility | None | $51.29 | $67.61 | $114.82 |
Premera BCBS Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $123.03 | Professional | None | $87.10 | $87.10 | $123.03 |
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 $83.18 Median $117.49 Typical High $181.97 | Professional | None | $83.18 | $117.49 | $181.97 |
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 $75.86 Median $109.65 Typical High $199.53 | Professional | None | $75.86 | $109.65 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $141.25 | Professional | None | $58.88 | $100.00 | $141.25 |
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 $39.81 Median $43.65 Typical High $57.54 | Professional | 52 · Reduced service | $39.81 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.38 Typical High $22.91 | Professional | 53 · Discontinued | $15.85 | $17.38 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $13.18 Typical High $16.98 | Professional | 55 · Aftercare only | $12.02 | $13.18 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.71 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.94 | $8.71 | $11.48 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $831.76 Median $1,174.90 Typical High $2,238.72 | Facility | 50 · Both sides | $831.76 | $1,174.90 | $2,238.72 |
Where Washington sits
The same service costs 3.7 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· 12th of 51
$123
AK $257KY $69.18
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.