How much rates vary
Facilitymedian $145 · 10th to 90th $55 to $631Professionalmedian $107 · 10th to 90th $62 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 $61.66 Median $6,165.95 Typical High $27,542.29 | Facility | None | $61.66 | $6,165.95 | $27,542.29 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $97.72 | Professional | None | $61.66 | $83.18 | $97.72 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $34.67 Median $426.58 Typical High $870.96 | Facility | None | $34.67 | $426.58 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $66.07 Median $134.90 Typical High $707.95 | Professional | None | $66.07 | $134.90 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $95.50 Typical High $158.49 | Facility | None | $66.07 | $95.50 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $141.25 | Professional | None | $61.66 | $91.20 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $181.97 | Professional | None | $63.10 | $102.33 | $181.97 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $144.54 Typical High $257.04 | Professional | None | $39.81 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $87.10 Median $147.91 Typical High $158.49 | Facility | None | $87.10 | $147.91 | $158.49 |
Premera BCBS Setting Facility Modifier None Typical Low $45.71 Median $64.57 Typical High $107.15 | Facility | None | $45.71 | $64.57 | $107.15 |
Premera BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $107.15 | Professional | None | $67.61 | $67.61 | $107.15 |
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 $66.07 Median $102.33 Typical High $158.49 | Professional | None | $66.07 | $102.33 | $158.49 |
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 $63.10 Median $97.72 Typical High $177.83 | Professional | None | $63.10 | $97.72 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $120.23 | Professional | None | $46.77 | $85.11 | $120.23 |
6 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 $30.90 Median $36.31 Typical High $48.98 | Professional | 52 · Reduced service | $30.90 | $36.31 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $19.50 | Professional | 53 · Discontinued | $12.30 | $14.45 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $54.95 Typical High $74.13 | Professional | 54 · Surgery only | $46.77 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.96 Typical High $14.79 | Professional | 55 · Aftercare only | $9.33 | $10.96 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.24 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.17 | $7.24 | $9.77 |
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 3.6 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
$110
AK $204KY $56.23
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.