How much rates vary
Facilitymedian $302 · 10th to 90th $117 to $1,122Professionalmedian $331 · 10th to 90th $191 to $692
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 $323.59 Median $5,128.61 Typical High $20,892.96 | Facility | None | $323.59 | $5,128.61 | $20,892.96 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $323.59 Typical High $323.59 | Professional | None | $199.53 | $323.59 | $323.59 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $114.82 Median $758.58 Typical High $1,479.11 | Facility | None | $114.82 | $758.58 | $1,479.11 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $213.80 Median $426.58 Typical High $2,454.71 | Professional | None | $213.80 | $426.58 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $239.88 Typical High $398.11 | Facility | None | $66.07 | $239.88 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $446.68 | Professional | None | $190.55 | $281.84 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $295.12 Typical High $562.34 | Professional | None | $173.78 | $295.12 | $562.34 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $389.05 Typical High $691.83 | Professional | None | $104.71 | $389.05 | $691.83 |
Pacific Source Setting Facility Modifier None Typical Low $281.84 Median $467.74 Typical High $512.86 | Facility | None | $281.84 | $467.74 | $512.86 |
Premera BCBS Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $295.12 | Facility | None | $100.00 | $151.36 | $295.12 |
Premera BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $346.74 | Professional | None | $218.78 | $218.78 | $346.74 |
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 $213.80 Median $331.13 Typical High $512.86 | Professional | None | $213.80 | $331.13 | $512.86 |
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 $199.53 Median $309.03 Typical High $562.34 | Professional | None | $199.53 | $309.03 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $295.12 Typical High $416.87 | Professional | None | $151.36 | $295.12 | $416.87 |
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 $100.00 Median $117.49 Typical High $162.18 | Professional | 52 · Reduced service | $100.00 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $46.77 Typical High $64.57 | Professional | 53 · Discontinued | $40.74 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $177.83 Typical High $245.47 | Professional | 54 · Surgery only | $151.36 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $35.48 Typical High $48.98 | Professional | 55 · Aftercare only | $30.20 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $23.44 Typical High $32.36 | Professional | 56 · Pre-op care only | $19.95 | $23.44 | $32.36 |
Where Washington sits
The same service costs 3.9 times more in Alaska than in Maryland. 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
$331
AK $692MD $178
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.