How much rates vary
Facilitymedian $151 · 10th to 90th $62 to $603Professionalmedian $129 · 10th to 90th $81 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 $85.11 Median $85.11 Typical High $125.89 | Facility | None | $85.11 | $85.11 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | None | $81.28 | $95.50 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $177.83 | Professional | None | $123.03 | $177.83 | $177.83 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $47.86 Median $416.87 Typical High $870.96 | Facility | None | $47.86 | $416.87 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $933.25 | Professional | None | $91.20 | $173.78 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $114.82 Typical High $190.55 | Facility | None | $66.07 | $114.82 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $186.21 | Professional | None | $81.28 | $114.82 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $218.78 | Professional | None | $79.43 | $128.82 | $218.78 |
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 $117.49 Median $177.83 Typical High $199.53 | Facility | None | $117.49 | $177.83 | $199.53 |
Premera BCBS Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $125.89 | Facility | None | $46.77 | $74.13 | $125.89 |
Premera BCBS Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | None | $93.33 | $93.33 | $134.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $870.96 | Facility | None | $302.00 | $457.09 | $870.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $199.53 | Professional | None | $91.20 | $128.82 | $199.53 |
United Setting Facility Modifier None Typical Low $134.90 Median $346.74 Typical High $707.95 | Facility | None | $134.90 | $346.74 | $707.95 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $218.78 | Professional | None | $83.18 | $120.23 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $64.57 Median $109.65 Typical High $154.88 | Professional | None | $64.57 | $109.65 | $154.88 |
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 $42.66 Median $46.77 Typical High $61.66 | Professional | 52 · Reduced service | $42.66 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $25.12 | Professional | 53 · Discontinued | $16.98 | $18.62 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $14.13 Typical High $18.62 | Professional | 55 · Aftercare only | $12.88 | $14.13 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.33 Typical High $12.59 | Professional | 56 · Pre-op care only | $8.51 | $9.33 | $12.59 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $457.09 Median $691.83 Typical High $1,318.26 | Facility | 50 · Both sides | $457.09 | $691.83 | $1,318.26 |
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· 13th of 51
$129
AK $275KY $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.