How much rates vary
Facilitymedian $141 · 10th to 90th $51 to $631Professionalmedian $112 · 10th to 90th $52 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 $51.29 Median $107.15 Typical High $794.33 | Facility | None | $51.29 | $107.15 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $117.49 | Professional | None | $51.29 | $83.18 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | None | $104.71 | $134.90 | $134.90 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $28.18 Median $416.87 Typical High $870.96 | Facility | None | $28.18 | $416.87 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $56.23 Median $125.89 Typical High $851.14 | Professional | None | $56.23 | $125.89 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $169.82 | Facility | None | $66.07 | $102.33 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $147.91 | Professional | None | $66.07 | $93.33 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $199.53 | Professional | None | $70.79 | $104.71 | $199.53 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $144.54 Typical High $257.04 | Professional | None | $38.90 | $144.54 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $93.33 Median $154.88 Typical High $165.96 | Facility | None | $93.33 | $154.88 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $107.15 | Facility | None | $45.71 | $60.26 | $107.15 |
Premera BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $114.82 | Professional | None | $57.54 | $57.54 | $114.82 |
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 $56.23 Median $109.65 Typical High $169.82 | Professional | None | $56.23 | $109.65 | $169.82 |
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 $54.95 Median $100.00 Typical High $181.97 | Professional | None | $54.95 | $100.00 | $181.97 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $97.72 Typical High $141.25 | Professional | None | $37.15 | $97.72 | $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 $25.70 Median $39.81 Typical High $53.70 | Professional | 52 · Reduced service | $25.70 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $15.85 Typical High $21.38 | Professional | 53 · Discontinued | $10.47 | $15.85 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $12.02 Typical High $16.22 | Professional | 55 · Aftercare only | $7.76 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.94 Typical High $10.72 | Professional | 56 · Pre-op care only | $5.13 | $7.94 | $10.72 |
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 3.8 times more in Alaska than in Virginia. 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· 8th of 51
$115
AK $214VA $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.